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1215743018
KANESHA THERESA ROSS
MACON, GA
NPI
1215743018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN275028)
Enumeration Date
2024-12-06
Last Update Date
2024-12-06
Business Address
KANESHA THERESA ROSS PMHNP
175 EMERY HWY
MACON, GA 31217-3692
Phone number: 478-803-7600
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Mailing Address
KANESHA THERESA ROSS PMHNP
115 CLASSICA DR
MCDONOUGH, GA 30252-2304
Phone number:
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