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1881132512
KENNETH MORRIS
FAYETTEVILLE, GA
NPI
1881132512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: GA M1199)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- KENNETH MORRIS
155 TIMBERLANE DR
FAYETTEVILLE, GA 30214-1335
Phone number: 770-461-4252
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Mailing Address
-- KENNETH MORRIS
155 TIMBERLANE DR
FAYETTEVILLE, GA 30214-1335
Phone number: 770-461-4252
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