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1891379426
BEANITA THOMAS
DOUGLASVILLE, GA
NPI
1891379426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
BEANITA THOMAS
4836 VENTNORE PL
DOUGLASVILLE, GA 30135-9001
Phone number: 678-282-7255
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Mailing Address
BEANITA THOMAS
4836 VENTNORE PL
DOUGLASVILLE, GA 30135-9001
Phone number: 678-282-7255
Copy
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