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1679149991
DORIS BRAZELL FAIR
STATESBORO, GA
NPI
1679149991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA CN0000047248)
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
DORIS BRAZELL FAIR
2002 CODY LN APT 23
STATESBORO, GA 30461-7955
Phone number: 912-481-6251
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Mailing Address
DORIS BRAZELL FAIR
2002 CODY LN APT 23
STATESBORO, GA 30461-7955
Phone number:
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