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1184190647
MELISSA RENEE BROSKE
AUGUSTA, GA
NPI
1184190647
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Former Name
MELISSA RENEE THAKORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN217143)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
MELISSA RENEE BROSKE FNP
1301 BROAD ST
AUGUSTA, GA 30901-1055
Phone number: 706-922-5864
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Mailing Address
MELISSA RENEE BROSKE FNP
1116 BLACKFOOT DR
EVANS, GA 30809-5470
Phone number: 706-294-6485
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