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1215548391
KEAUNDRIA SHAQUILLE BROOMFIELD
STATESBORO, GA
NPI
1215548391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT012945)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
KEAUNDRIA SHAQUILLE BROOMFIELD MT
116 SAVANNAH AVE
STATESBORO, GA 30458-4801
Phone number: 912-243-9200
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Mailing Address
KEAUNDRIA SHAQUILLE BROOMFIELD MT
116 SAVANNAH AVE
STATESBORO, GA 30458-4801
Phone number: 912-243-9200
Copy
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