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1154691079
KIMBERLY JAVON GRANT
AUGUSTA, GA
NPI
1154691079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT007434)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
Miss KIMBERLY JAVON GRANT LMT
211 PLEASANT HOME RD SUITE F-1
AUGUSTA, GA 30907-0518
Phone number: 706-863-9705
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Mailing Address
Miss KIMBERLY JAVON GRANT LMT
511 ELLINGTON AVE
THOMSON, GA 30824-1624
Phone number: 706-863-9705
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