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1477091544
CHARNISSA BROWN
QUITMAN, GA
NPI
1477091544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
CHARNISSA BROWN
6589 DRY LAKE RD
QUITMAN, GA 31643-5905
Phone number: 229-263-6947
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Mailing Address
CHARNISSA BROWN
6589 DRY LAKE RD
QUITMAN, GA 31643-5905
Phone number: 229-263-6947
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