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1033228200
DERAINE H GRAHAM
TIFTON, GA
NPI
1033228200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN072968)
Enumeration Date
2006-08-30
Last Update Date
2008-03-18
Business Address
-- DERAINE H GRAHAM NP
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
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Mailing Address
-- DERAINE H GRAHAM NP
2225 US HWY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
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