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1831650761
SANDRA DESILVA
COVINGTON, GA
NPI
1831650761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: GA 059313640)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
SANDRA DESILVA CNA
225 LAZY HOLLOW LN
COVINGTON, GA 30016-4504
Phone number: 631-338-3478
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Mailing Address
SANDRA DESILVA CNA
225 LAZY HOLLOW LN
COVINGTON, GA 30016-4504
Phone number: 631-338-3478
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