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1023062577
DANA M AVIST
VIDALIA, GA
NPI
1023062577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN115997)
Enumeration Date
2006-05-20
Last Update Date
2010-08-16
Business Address
-- DANA M AVIST APRN, BC
1700 ADAMS ST
VIDALIA, GA 30474-5557
Phone number: 912-537-1772
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Mailing Address
-- DANA M AVIST APRN, BC
1700 ADAMS ST
VIDALIA, GA 30474-5557
Phone number: 912-537-1772
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