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1750914586
JENNIFER LYNN BALDIVIA
VALDOSTA, GA
NPI
1750914586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
MRS. JENNIFER LYNN BALDIVIA
206 S PATTERSON ST
VALDOSTA, GA 31601-5668
Phone number: 229-245-6565
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Mailing Address
MRS. JENNIFER LYNN BALDIVIA
3938 KARALINE CIR
VALDOSTA, GA 31605-7768
Phone number: 919-221-0755
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