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1720497902
ELLISE TROUTMAN
ALBANY, GA
NPI
1720497902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist Prosthetics Case Management
(Licence: GA CO075513)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
ELLISE TROUTMAN
2310 EVERGREEN DR
ALBANY, GA 31721-5225
Phone number: 229-376-8641
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Mailing Address
ELLISE TROUTMAN
2310 EVERGREEN DR
ALBANY, GA 31721-5225
Phone number: 229-376-8641
Copy
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