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1740604883
JUDIN LYNCH
LAWRENCEVILLE, GA
NPI
1740604883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: GA 26-4017146)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- JUDIN LYNCH
919 KOALA CT
LAWRENCEVILLE, GA 30043-7699
Phone number: 770-635-8042
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Mailing Address
-- JUDIN LYNCH
919 KOALA COURT
LAWRENCEVILLE, GA 30043
Phone number: 770-635-8042
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