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1063817872
AMANDA BRULTE
DOUGLAS, GA
NPI
1063817872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197324)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- AMANDA BRULTE APRN
100 DOCTORS DR STE 104
DOUGLAS, GA 31533-2211
Phone number: 912-383-4352
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Mailing Address
-- AMANDA BRULTE APRN
100 DOCTORS DR STE 104
DOUGLAS, GA 31533-2211
Phone number: 912-383-4352
Copy
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