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1902416308
KEANDRE BUTTS
ATLANTA, GA
NPI
1902416308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 10001)
Enumeration Date
2020-07-31
Last Update Date
2022-08-09
Business Address
KEANDRE BUTTS CAA
500 PEACHTREE ST NE
ATLANTA, GA 30308-3109
Phone number: 470-295-5733
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Mailing Address
KEANDRE BUTTS CAA
45 LONG CREEK DR
COVINGTON, GA 30016-7725
Phone number:
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