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Individual

MISS SHEQUITTA JAMERETTA ELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
301 PRINCESS CT, DUBLIN, GA 31021-6426
(478) 697-9950
Mailing address
301 PRINCESS CT, DUBLIN, GA 31021-6426
(478) 697-9950

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CN0028859701
GA

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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