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1811529225
OCTAVIA ELAYNE MCKENNEY
MARIETTA, GA
NPI
1811529225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT011404)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
OCTAVIA ELAYNE MCKENNEY
3577 MAIN STATION DR SW
MARIETTA, GA 30008-6054
Phone number: 678-869-1250
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Mailing Address
OCTAVIA ELAYNE MCKENNEY
3577 MAIN STATION DR SW
MARIETTA, GA 30008-6054
Phone number: 678-869-1250
Copy
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