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License Type Code = General
License Number = 1533
Licensee Name = CALISTA KOCH
Business Name = CALISTA KOCH
Business Address Line1 = 113 LOTUS POINT DRIVE
Business Address Line2 =
Business Address Line3 =
Business City = MACON GA 31220
Business State = GA
Business Zip =
Primary Phone = (478) 972-0093
Contact Name = CALISTA KOCH
License Status = Active
Start Of Business Date = 2010-08-18
Out Of Business Date =
Contractor = No
Application Date = 2010-08-18

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