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1144081571
TYRA LASHAY BENNETT
CAMILLA, GA
NPI
1144081571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN234059)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
TYRA LASHAY BENNETT NP
4191 OLD GA HIGHWAY 3
CAMILLA, GA 31730-6338
Phone number: 229-328-4181
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Mailing Address
TYRA LASHAY BENNETT NP
4191 OLD GA HIGHWAY 3
CAMILLA, GA 31730-6338
Phone number: 229-328-4181
Copy
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