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1801356399
OPHELIA BATES
FAYETTEVILLE, GA
NPI
1801356399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW004222)
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
Mrs. OPHELIA BATES
115 BAYWATCH CIR
FAYETTEVILLE, GA 30215-4671
Phone number: 678-764-5609
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Mailing Address
Mrs. OPHELIA BATES
115 BAYWATCH CIR
FAYETTEVILLE, GA 30215-4671
Phone number: 678-764-5609
Copy
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