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1134690290
SHANTAVIES DIOR MORNING
COLUMBUS, GA
NPI
1134690290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106E00000X Assistant Behavior Analyst
Enumeration Date
2018-12-16
Last Update Date
2019-02-11
Business Address
SHANTAVIES DIOR MORNING PP
919 LAWYERS LN
COLUMBUS, GA 31906-3129
Phone number: 706-256-3200
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Mailing Address
SHANTAVIES DIOR MORNING PP
2412 CLOVER LN
COLUMBUS, GA 31903-1220
Phone number: 706-405-9702
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