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1164058335
CHANIYA TRENISE MCCLOGGAN
COLUMBUS, GA
NPI
1164058335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
CHANIYA TRENISE MCCLOGGAN
4067 STEAM MILL RD
COLUMBUS, GA 31907-4819
Phone number: 762-821-3112
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Mailing Address
CHANIYA TRENISE MCCLOGGAN
4067 STEAM MILL RD
COLUMBUS, GA 31907-4819
Phone number: 762-821-3112
Copy
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