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1205360021
CYRENAH NICOLE LANE
CORDELE, GA
NPI
1205360021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 84720)
Enumeration Date
2017-04-18
Last Update Date
2021-09-29
Business Address
CYRENAH NICOLE LANE D.O.
116 E 4TH AVE
CORDELE, GA 31015-3210
Phone number: 229-276-3677
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Mailing Address
CYRENAH NICOLE LANE D.O.
902 N 7TH ST STE 140E
CORDELE, GA 31015-3270
Phone number: 229-276-3100
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