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1902299241
JOSEPH L KIRBO JR
VALDOSTA, GA
NPI
1902299241
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Entity Type
Organization
Authorized Contact
JOSEPH L KIRBO
Owner
229-247-1661
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: GA DN008200)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
JOSEPH L KIRBO JR
2722 N OAK ST
VALDOSTA, GA 31602-1770
Phone number: 229-247-1661
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Mailing Address
JOSEPH L KIRBO JR
2722 N OAK ST
VALDOSTA, GA 31602-1770
Phone number: 229-247-1661
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