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1245716448
SHANTE GRANT
EVANS, GA
NPI
1245716448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA 18-58385)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
SHANTE GRANT
4216 WASHINGTON RD STE 2
EVANS, GA 30809-4717
Phone number: 762-222-7629
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Mailing Address
SHANTE GRANT
2580 LIN DO CT
SUMTER, SC 29150-1832
Phone number: 803-905-4427
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