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1124603329
SHANTE JASMINE BENBOW
CARTERSVILLE, GA
NPI
1124603329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003848)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
SHANTE JASMINE BENBOW PTA
78 OPAL ST
CARTERSVILLE, GA 30120-2848
Phone number: 770-382-6120
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Mailing Address
SHANTE JASMINE BENBOW PTA
500 SYCAMORE LN APT 108
WOODSTOCK, GA 30188-7320
Phone number: 229-583-2318
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