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1780939181
KELLY SCOTT
CLARKSTON, GA
NPI
1780939181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA cn0028864031)
Enumeration Date
2012-07-21
Last Update Date
2012-07-21
Business Address
Ms. KELLY SCOTT
3818 BROCKETT TRL G
CLARKSTON, GA 30021-1562
Phone number: 404-989-6293
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Mailing Address
Ms. KELLY SCOTT
3818 BROCKETT TRL G
CLARKSTON, GA 30021-1562
Phone number: 404-989-6293
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