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1790247070
JONATHAN PACE
STONE MOUNTAIN, GA
NPI
1790247070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: GA I042897)
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
Mr. JONATHAN PACE EMT-I
4683 REDAN RD
STONE MOUNTAIN, GA 30083
Phone number: 678-492-5466
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Mailing Address
Mr. JONATHAN PACE EMT-I
4683 REDAN RD
STONE MOUNTAIN, GA 30083
Phone number: 678-492-5466
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