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1760662902
LONGER LIFE SERVICES OF GA CORPORATION
WOODSTOCK, GA
NPI
1760662902
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Entity Type
Organization
Authorized Contact
PABLO SANU
President
404-438-1293
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-11-05
Last Update Date
2007-11-05
Business Address
LONGER LIFE SERVICES OF GA CORPORATION
1025 ROSE CREEK DR SUITE 620-173
WOODSTOCK, GA 30189-6797
Phone number: 404-438-1293
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Mailing Address
LONGER LIFE SERVICES OF GA CORPORATION
1025 ROSE CREEK DR SUITE 620-173
WOODSTOCK, GA 30189-6797
Phone number: 404-438-1293
Copy
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