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1053731539
CRYSTAL BRANTLEY
COLLEGE PARK, GA
NPI
1053731539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: GA 14017845)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
Ms. CRYSTAL BRANTLEY
170 GLACE RD
COLLEGE PARK, GA 30349-4628
Phone number: 404-503-6483
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Mailing Address
Ms. CRYSTAL BRANTLEY
PO BOX 91
GALLOWAY, OH 43119-0091
Phone number: 614-378-7055
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