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1124585880
KRISTA LAUREN KEEN
MACON, GA
NPI
1124585880
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Former Name
KRISTA SHUGART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN209195)
Enumeration Date
2019-02-28
Last Update Date
2023-03-28
Business Address
KRISTA LAUREN KEEN NP
3448 VINEVILLE AVE
MACON, GA 31204-1867
Phone number: 478-405-0045
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Mailing Address
KRISTA LAUREN KEEN NP
3448 VINEVILLE AVE
MACON, GA 31204-1867
Phone number: 478-405-0045
Copy
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