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1235769985
MICHELLE BRACK
THOMASVILLE, GA
NPI
1235769985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN173440)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
MICHELLE BRACK NP-C
502 HALL RD
THOMASVILLE, GA 31757-8105
Phone number: 229-224-7423
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Mailing Address
MICHELLE BRACK NP-C
502 HALL RD
THOMASVILLE, GA 31757-8105
Phone number: 229-225-3917
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