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1205553112
SAMARA ACOSTA
PEARSON, GA
NPI
1205553112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN259547)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
SAMARA ACOSTA
640 MAIN ST N
PEARSON, GA 31642-7549
Phone number: 912-544-4569
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Mailing Address
SAMARA ACOSTA
1146 OQUINN DR
TIFTON, GA 31794-3729
Phone number:
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