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1922551118
SHELLEY FONDREN
ATLANTA, GA
NPI
1922551118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA Mt000751)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
-- SHELLEY FONDREN
5817 JAMERSON DR
ATLANTA, GA 30349-7018
Phone number: 404-822-6295
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Mailing Address
-- SHELLEY FONDREN
5817 JAMERSON DR
ATLANTA, GA 30349-7018
Phone number: 404-822-6295
Copy
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