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1265042329
VERNTAVIUS JAYMEL DENHAM
EATONTON, GA
NPI
1265042329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
Mr. VERNTAVIUS JAYMEL DENHAM
200 NEW ST
EATONTON, GA 31024-7920
Phone number: 254-338-7623
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Mailing Address
Mr. VERNTAVIUS JAYMEL DENHAM
200 NEW ST
EATONTON, GA 31024-7920
Phone number: 254-338-7623
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