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Individual

MRS. BRIGETTE CLARK DUNCAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1514 WYNTHROPE WAY # 1514, RIVERDALE, GA 30274-5146
(678) 531-2894
Mailing address
1514 WYNTHROPE WAY # 1514, RIVERDALE, GA 30274-5146
(678) 531-2894

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0009200
GA

Other

Enumeration date
05/06/2021
Last updated
05/06/2021
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