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1457887614
BRANDON TATUM
DECATUR, GA
NPI
1457887614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2017-05-10
Last Update Date
2018-10-04
Business Address
MR. BRANDON TATUM
4449 COVINGTON HWY
DECATUR, GA 30035-1214
Phone number: 404-254-2973
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Mailing Address
MR. BRANDON TATUM
4449 COVINGTON HWY
DECATUR, GA 30035-1214
Phone number: 404-254-2973
Copy
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