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1710393301
MAMIE LEE GILLIARD
AUGUSTA, GA
NPI
1710393301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA LCB20140000963)
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
-- MAMIE LEE GILLIARD
3503 OSAGE CT
AUGUSTA, GA 30906-4533
Phone number: 706-284-2441
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Mailing Address
-- MAMIE LEE GILLIARD
3503 OSAGE CT
AUGUSTA, GA 30906-4533
Phone number: 706-284-2441
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