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1013413343
GABRIELLE ANNASTASIA HARTAGE
AMERICUS, GA
NPI
1013413343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN095787)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
GABRIELLE ANNASTASIA HARTAGE
120 N DUDLEY ST
AMERICUS, GA 31709-3410
Phone number: 229-815-5454
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Mailing Address
GABRIELLE ANNASTASIA HARTAGE
138 CHARLESTON DR
AMERICUS, GA 31709-5427
Phone number: 229-938-9584
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