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1831749340
SOPHIA LORRAINE GRANT
MCDONOUGH, GA
NPI
1831749340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
SOPHIA LORRAINE GRANT
215 BROOK HOLLOW DR
MCDONOUGH, GA 30252-3960
Phone number: 404-431-6036
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Mailing Address
SOPHIA LORRAINE GRANT
215 BROOK HOLLOW DR
MCDONOUGH, GA 30252-3960
Phone number: 404-431-6036
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