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1710621438
FAYETTA TYRA-BROOKS
DOUGLASVILLE, GA
NPI
1710621438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
FAYETTA TYRA-BROOKS
4351 HAMPTON MILL PKWY
DOUGLASVILLE, GA 30135-4180
Phone number: 404-660-9273
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Mailing Address
FAYETTA TYRA-BROOKS
4351 HAMPTON MILL PKWY
DOUGLASVILLE, GA 30135-4180
Phone number:
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