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1114370137
MARY ANGELA CHILDRE
MILLEDGEVILLE, GA
NPI
1114370137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN125490)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
MARY ANGELA CHILDRE
134 W CAMPUS DR
MILLEDGEVILLE, GA 31061-3639
Phone number: 478-445-5288
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Mailing Address
MARY ANGELA CHILDRE
160 PA JOHNS RD NE
MILLEDGEVILLE, GA 31061-9070
Phone number: 478-454-8255
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