KIMBERLY DAINELLE GREEN

MACON, GA
NPI1891083887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: GA  011-R-0210)
Enumeration Date2011-07-12
Last Update Date2011-07-12
Business Address
Ms. KIMBERLY DAINELLE GREEN
761 POPLAR ST SUITE # 2 I
MACON, GA 31201-2082
Phone number: 478-461-1955
Mailing Address
Ms. KIMBERLY DAINELLE GREEN
761 POPLAR ST SUITE # 2 I
MACON, GA 31201-2082
Phone number: 478-461-1955
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