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1871919878
PORSCHE PROWELL
COLUMBUS, GA
NPI
1871919878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 104100000X)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- PORSCHE PROWELL BS
2100 COMER AVE
COLUMBUS, GA 31906-4328
Phone number: 706-596-5575
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Mailing Address
-- PORSCHE PROWELL BS
P.O. BOX 5328
COLUMBUS, GA 31906-4328
Phone number: 706-596-5575
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