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1134802630
KEONTRA TYES
DECATUR, GA
NPI
1134802630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: GA AUD004381)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
KEONTRA TYES
484 IRVIN CT
DECATUR, GA 30030-5406
Phone number: 404-297-4248
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Mailing Address
KEONTRA TYES
484 IRVIN CT
DECATUR, GA 30030-5406
Phone number: 404-297-4248
Copy
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