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Individual

MUNTAISHA SHUNQUILL ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3718 MAYFAIR LANE, APT B, ALBANY, GA 31721
(229) 364-7308
Mailing address
3718 MAYFAIR LN APT B, ALBANY, GA 31721-6574
(229) 364-7308

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/14/2017
Last updated
07/21/2022
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