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1790193381
KOESHA TIERRA COOK
AUSTELL, GA
NPI
1790193381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA PTA002616)
Enumeration Date
2014-07-27
Last Update Date
2014-07-27
Business Address
-- KOESHA TIERRA COOK
1700 MULKEY RD
AUSTELL, GA 30106-1116
Phone number: 770-941-5750
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Mailing Address
-- KOESHA TIERRA COOK
1325 WINDY RIDGE LN SE
ATLANTA, GA 30339-2446
Phone number: 404-951-6445
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