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1710297189
NATALIE LARK BAYNE
CRAWFORD, GA
NPI
1710297189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA MT006932)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
Ms. NATALIE LARK BAYNE LMT
1071 ATHENS RD
CRAWFORD, GA 30630-2529
Phone number: 706-743-3757
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Mailing Address
Ms. NATALIE LARK BAYNE LMT
1071 ATHENS RD
CRAWFORD, GA 30630-2529
Phone number: 706-743-3757
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