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1033732755
KERA ASHLYN MALPHUS
DOUGLAS, GA
NPI
1033732755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN265048)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
KERA ASHLYN MALPHUS
1001 WARD ST W
DOUGLAS, GA 31533-2263
Phone number: 912-384-7210
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Mailing Address
KERA ASHLYN MALPHUS
200 RICHEY LN
DOUGLAS, GA 31535-5916
Phone number: 912-592-1320
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