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1932262318
DIANA RICO
DOUGLASVILLE, GA
NPI
1932262318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-12-18
Last Update Date
2007-07-09
Business Address
-- DIANA RICO
2110 FAIRBURN RD
DOUGLASVILLE, GA 30135-1080
Phone number: 770-896-6518
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Mailing Address
-- DIANA RICO
PO BOX 385
POWDER SPRINGS, GA 30127-0385
Phone number: 770-896-6518
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