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Individual

REBEKAH MIDDLEBROOKS

Active
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Individual

REBEKAH MIDDLEBROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
048-R-1661
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
473360319
INSURANCE COMPANIES
GA
Enumeration date
06/07/2018
Last updated
06/07/2018
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