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1245985209
SAMANTHA RUTH BOSSAK
SAVANNAH, GA
NPI
1245985209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN209672)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
SAMANTHA RUTH BOSSAK
4B SKIDAWAY VILLAGE WALK
SAVANNAH, GA 31411-3141
Phone number: 912-598-6322
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Mailing Address
SAMANTHA RUTH BOSSAK
PO BOX 13686
SAVANNAH, GA 31416-0686
Phone number: 912-600-1137
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