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1003521022
QUANIQUA CARLIE
AUGUSTA, GA
NPI
1003521022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-16
Last Update Date
2023-11-20
Business Address
QUANIQUA CARLIE COO
2610 MILLEDGEVILLE RD
AUGUSTA, GA 30904-5110
Phone number: 804-300-6723
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Mailing Address
QUANIQUA CARLIE COO
750 FORDHAM RD
GROVETOWN, GA 30813-0400
Phone number:
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