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1760020630
BRANDON TAYLOR
MCDONOUGH, GA
NPI
1760020630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Additional Taxonomies
310400000X Assisted Living Facility
Enumeration Date
2019-12-11
Last Update Date
2020-01-29
Business Address
Mr. BRANDON TAYLOR
187 SHAKER HOLLOW DR
MCDONOUGH, GA 30253-7583
Phone number: 678-687-8489
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Mailing Address
Mr. BRANDON TAYLOR
187 SHAKER HOLLOW DR
MCDONOUGH, GA 30253-7583
Phone number: 678-687-8489
Copy
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