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1366100372
TINA MARIE WAISANEN
CARTERSVILLE, GA
NPI
1366100372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN279110)
Enumeration Date
2021-12-07
Last Update Date
2022-07-24
Business Address
TINA MARIE WAISANEN FNP-C
125 MAIN STREET MARKET PL SE
CARTERSVILLE, GA 30121-3307
Phone number: 770-606-5212
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Mailing Address
TINA MARIE WAISANEN FNP-C
125 MAIN STREET MARKET PL SE
CARTERSVILLE, GA 30121-3307
Phone number: 770-606-5212
Copy
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