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1740506211
MICHAEL BOSTIC
ALPHARETTA, GA
NPI
1740506211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
MICHAEL BOSTIC
14104 JEFFERSON CREEK DR
ALPHARETTA, GA 30005-3879
Phone number: 678-300-9796
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Mailing Address
MICHAEL BOSTIC
14104 JEFFERSON CREEK DR
ALPHARETTA, GA 30005-3879
Phone number:
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