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1144978610
CHANTAY T MARDNER
DUNWOODY, GA
NPI
1144978610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: GA CO119586)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
Ms. CHANTAY T MARDNER specialist
4531 OLDE PERIMETER WAY STE 101
DUNWOODY, GA 30346-4208
Phone number: 404-717-2714
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Mailing Address
Ms. CHANTAY T MARDNER specialist
115 ARBOR LAKE DR
COVINGTON, GA 30016-0288
Phone number: 404-717-2714
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