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1861122236
CAMIA IMANI COBURN
DOUGLASVILLE, GA
NPI
1861122236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: GA 374567876)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
CAMIA IMANI COBURN
3492 HIGHWAY 5 APT 702
DOUGLASVILLE, GA 30135-6911
Phone number: 404-455-5851
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Mailing Address
CAMIA IMANI COBURN
3492 HIGHWAY 5 APT 702
DOUGLASVILLE, GA 30135-6911
Phone number:
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