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1164947602
SALLIE JEANETTE WACTER
COLUMBUS, GA
NPI
1164947602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN124613)
Enumeration Date
2017-08-06
Last Update Date
2017-08-06
Business Address
Ms. SALLIE JEANETTE WACTER FNP-C
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904-3688
Phone number: 706-256-2525
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Mailing Address
Ms. SALLIE JEANETTE WACTER FNP-C
501 PUEBLO RD
COLUMBUS, GA 31904-1220
Phone number:
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