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Individual

MISS DEBRA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
702 BALDWIN DR STE A, ALBANY, GA 31707-4027
(229) 310-0862
Mailing address
207 CHESTNUT STR, COLEMAN, GA 39836
(229) 310-0862

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011126
GA

Other

Enumeration date
11/06/2020
Last updated
11/06/2020
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