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1073043493
KENTERRIOUS BROOKS-MIMS
ALBANY, GA
NPI
1073043493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
KENTERRIOUS BROOKS-MIMS
408 POINCIANA AVE
ALBANY, GA 31705-4502
Phone number: 229-255-6842
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Mailing Address
KENTERRIOUS BROOKS-MIMS
408 POINCIANA AVE
ALBANY, GA 31705-4502
Phone number:
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