JORGE CARABALLO

POWDER SPRINGS, GA
NPI1750753133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: GA  OCC014925)
Enumeration Date2015-10-26
Last Update Date2015-10-26
Business Address
Mr. JORGE CARABALLO
5672 HARBORMIST DR
POWDER SPRINGS, GA 30127-6963
Phone number: 678-997-4048
Mailing Address
Mr. JORGE CARABALLO
PO BOX 867
POWDER SPRINGS, GA 30127-6963
Phone number: 678-997-4048
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