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1821621533
LEWIS PONZO
DECATUR, GA
NPI
1821621533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
LEWIS PONZO
315 W PONCE DE LEON AVE
DECATUR, GA 30030-2400
Phone number: 770-609-6976
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Mailing Address
LEWIS PONZO
4221 MEDLOCK MILL DR
SNELLVILLE, GA 30039-2720
Phone number:
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