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1164931515
BRANTON KEON SMITH
COLUMBUS, GA
NPI
1164931515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
BRANTON KEON SMITH
1230 2ND AVENUE
COLUMBUS, GA 31901
Phone number: 706-321-9606
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Mailing Address
BRANTON KEON SMITH
1230 2ND AVE
COLUMBUS, GA 31901-5241
Phone number:
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