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1912722901
MOZZIE ELLIS
FORT VALLEY, GA
NPI
1912722901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Enumeration Date
2024-11-15
Last Update Date
2024-11-15
Business Address
MOZZIE ELLIS
410 E CHURCH ST
FORT VALLEY, GA 31030-3097
Phone number: 229-591-4000
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Mailing Address
MOZZIE ELLIS
122 W FORSYTH ST
AMERICUS, GA 31709-3561
Phone number: 229-591-4000
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