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1487140950
KANESHA MONIQUE GILLYARD
DECATUR, GA
NPI
1487140950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA POD001437)
Enumeration Date
2018-07-07
Last Update Date
2021-06-03
Business Address
KANESHA MONIQUE GILLYARD DPM
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
KANESHA MONIQUE GILLYARD DPM
106 E BROAD ST
SAVANNAH, GA 31401-2917
Phone number: 912-527-1100
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