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1245619246
DONTE DAIVAUGHN WASHINGTON
COLUMBUS, GA
NPI
1245619246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
Mr. DONTE DAIVAUGHN WASHINGTON
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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Mailing Address
Mr. DONTE DAIVAUGHN WASHINGTON
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
Copy
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