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1295506756
TOMYIA BLACKSHEAR
TIFTON, GA
NPI
1295506756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: GA 0597793025)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
TOMYIA BLACKSHEAR
2138 DEER RUN CIRCLE
TIFTON, GA 31794
Phone number: 229-326-1126
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Mailing Address
TOMYIA BLACKSHEAR
2138 DEER RUN CIRCLE
TIFTON, GA 31794
Phone number:
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