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1063515872
WANDA MILLER
AUGUSTA, GA
NPI
1063515872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS R619183)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
-- WANDA MILLER NP
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
-- WANDA MILLER NP
47 CHASTE TREE LN
MARTINEZ, GA 30907-3547
Phone number: 706-733-0188
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