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1144960576
MAKEBA SHANTEY MADDOX
COLUMBUS, GA
NPI
1144960576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
MAKEBA SHANTEY MADDOX
950 WATSON DR
COLUMBUS, GA 31907-4146
Phone number: 706-393-8796
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Mailing Address
MAKEBA SHANTEY MADDOX
950 WATSON DR
COLUMBUS, GA 31907-4146
Phone number: 706-393-8796
Copy
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