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Organization
ABUNDANT LIVING FOUNDATION, INC.
Active
Organization
ABUNDANT LIVING FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYNMARIE SABRINAH DORCE MT(ASCP) (FOUNDER AND EXECUTIVE DIRECTOR)
(404) 282-8292
Entity
Organization
Contact information
Practice address
1558 MARIETTA HWY STE 200, CANTON, GA 30114-3615
(914) 275-1477
Mailing address
840 COMMERCE TRL, CANTON, GA 30114-7572
(914) 275-1477
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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