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1265928972
MONIQUE CHANTEL BURNETT
HINESVILLE, GA
NPI
1265928972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: GA CO127672)
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
Mrs. MONIQUE CHANTEL BURNETT
203 W GENERAL SCREVEN WAY APT B
HINESVILLE, GA 31313-3034
Phone number: 253-592-8442
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Mailing Address
Mrs. MONIQUE CHANTEL BURNETT
81 GREENBRIAR ST NE
LUDOWICI, GA 31316-6276
Phone number: 253-592-8442
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