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1285614875
SUSAN R COLGROVE
LAGRANGE, GA
NPI
1285614875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN019428 NP)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN R COLGROVE CRNP
1805 VERNON RD SUITE B
LAGRANGE, GA 30240-4041
Phone number: 706-884-2691
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Mailing Address
Mrs. SUSAN R COLGROVE CRNP
1805 VERNON RD SUITE B
LAGRANGE, GA 30240-4041
Phone number: 706-884-2691
Copy
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