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1245207414
PHYLLIS R FOSSETT
MACON, GA
NPI
1245207414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN066808)
Enumeration Date
2006-03-07
Last Update Date
2013-06-04
Business Address
-- PHYLLIS R FOSSETT CRNA
380 HOSPITAL DRIVE SUITE 410
MACON, GA 31217
Phone number: 478-746-5644
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Mailing Address
-- PHYLLIS R FOSSETT CRNA
PO BOX 2564
MACON, GA 31203
Phone number: 478-746-5644
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