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1023616661
YAIRA MALDONADO
COLUMBUS, GA
NPI
1023616661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA NCO-000001)
Enumeration Date
2020-10-15
Last Update Date
2021-04-01
Business Address
YAIRA MALDONADO
4328 ARMOUR RD
COLUMBUS, GA 31904-5204
Phone number: 706-507-1213
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Mailing Address
YAIRA MALDONADO
191 LEE ROAD 207
PHENIX CITY, AL 36870-8240
Phone number: 423-227-5768
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