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1194550236
BRIDGETT DE'NEISHA DAVIS
BROXTON, GA
NPI
1194550236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: GA BACB1108414)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
BRIDGETT DE'NEISHA DAVIS
2862 GA HIGHWAY 268 W
BROXTON, GA 31519-5005
Phone number: 229-457-4260
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Mailing Address
BRIDGETT DE'NEISHA DAVIS
2862 GA HIGHWAY 268 W
BROXTON, GA 31519-5005
Phone number: 229-457-4260
Copy