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1225450729
SHAWANDA LATRECE MARSHALL
ROME, GA
NPI
1225450729
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Other Name
SHAWANDA LATRECE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN199472)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- SHAWANDA LATRECE MARSHALL WHNP-BC
330 TURNER MCCALL BLVD SW
ROME, GA 30165-5630
Phone number: 706-291-1754
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Mailing Address
-- SHAWANDA LATRECE MARSHALL WHNP-BC
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-295-5331
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