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1508000639
BRANDIE RENEE MITCHELL
LAWRENCEVILLE, GA
NPI
1508000639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA MT004126)
Enumeration Date
2009-04-20
Last Update Date
2009-04-20
Business Address
-- BRANDIE RENEE MITCHELL
271A S CULVER ST
LAWRENCEVILLE, GA 30045-4805
Phone number: 770-366-9438
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Mailing Address
-- BRANDIE RENEE MITCHELL
2665 WILSHIRE TER
LAWRENCEVILLE, GA 30044-5785
Phone number: 404-275-4071
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