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1376200170
BETHANY ANNE MADES
FAYETTEVILLE, GA
NPI
1376200170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-164624)
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
BETHANY ANNE MADES RN
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 256-424-3428
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Mailing Address
BETHANY ANNE MADES RN
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number:
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