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1104382092
MEREDITH EMILY DECESARE
VALDOSTA, GA
NPI
1104382092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN242990)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
MEREDITH EMILY DECESARE NP-C
2263 PINEVIEW DR
VALDOSTA, GA 31602-7316
Phone number: 229-433-7000
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Mailing Address
MEREDITH EMILY DECESARE NP-C
1210 LAKE DR
VALDOSTA, GA 31602-1216
Phone number: 229-251-3867
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