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ROSA L BORDEN
>> Contractor >> Other Service ProvidersRegistrant NPI Number: 1497311401
Individual Registrant: ROSA L BORDEN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
607 S 5TH ST VIENNA, GA 31092-1529 US
Tel: 478-244-4351 Fax: --
Tel: 478-244-4351 Fax: --
Contact information for business:
607 S 5TH ST VIENNA, GA 31092-1529 US
Tel: 478-244-4351 Fax: --
Tel: 478-244-4351 Fax: --
Registration Information:
NPI: 1497311401
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171W00000X | Other Service Providers Contractor | GA | 051413705 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
