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1588495303
CHANTEASE BRAXTON
DALLAS, GA
NPI
1588495303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN101246)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
CHANTEASE BRAXTON
311 WHITE INGRAM PKWY STE 500
DALLAS, GA 30132-0972
Phone number: 678-363-7447
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Mailing Address
CHANTEASE BRAXTON
3349 MCEVER PARK CIR
ACWORTH, GA 30101-6651
Phone number: 404-909-7462
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