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1336966720
LACI JARRELL PITTS
TIFTON, GA
NPI
1336966720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN279870)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
LACI JARRELL PITTS
1805 TIFT AVE N STE D
TIFTON, GA 31794-3579
Phone number: 229-382-5554
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Mailing Address
LACI JARRELL PITTS
1805 TIFT AVE N STE D
TIFTON, GA 31794-3579
Phone number: 229-382-5554
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