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1982241758
CRYSTAL WHITE
TUCKER, GA
NPI
1982241758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: GA 044-R-2070)
Enumeration Date
2019-11-29
Last Update Date
2019-11-29
Business Address
CRYSTAL WHITE
3818 NORTHLAKE CREEK DR
TUCKER, GA 30084-3418
Phone number: 404-988-8811
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Mailing Address
CRYSTAL WHITE
3818 NORTHLAKE CREEK DR
TUCKER, GA 30084-3418
Phone number: 404-988-8811
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