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1275919771
MARY MINTER
VIDALIA, GA
NPI
1275919771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN216867)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- MARY MINTER NP-C
414 LUGENIA DR
VIDALIA, GA 30474-7210
Phone number: 912-537-9355
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Mailing Address
-- MARY MINTER NP-C
1720 NICOLE LN
VIDALIA, GA 30474-5640
Phone number: 404-272-6813
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