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Individual

ANDRAE BERNARD DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
135 E. MLK JR DRIVE, 201, HINESVILLE, GA 31313
(912) 332-1596
Mailing address
135 EAST MLK JR DRIVE, STE 101, HINESVILLE, GA 31313
(912) 332-1596

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010292
GA

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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