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1003218520
LEAH SHUPE
NEWNAN, GA
NPI
1003218520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN214000)
Enumeration Date
2014-09-16
Last Update Date
2020-06-12
Business Address
LEAH SHUPE PAC
2045 HIGHWAY 34 E
NEWNAN, GA 30265-1327
Phone number: 770-502-0202
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Mailing Address
LEAH SHUPE PAC
835 COGBURN AVE NW STE 250
MARIETTA, GA 30060-1056
Phone number: 770-422-5557
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