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1386320752
HEATHER G DISMUKE
MOULTRIE, GA
NPI
1386320752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN293813)
Enumeration Date
2023-06-22
Last Update Date
2024-11-20
Business Address
Mrs. HEATHER G DISMUKE FNP-BC
101 COBBLESTONE TRCE SE
MOULTRIE, GA 31788-7747
Phone number: 229-891-9016
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Mailing Address
Mrs. HEATHER G DISMUKE FNP-BC
PO BOX 12
MOULTRIE, GA 31776-0012
Phone number: 229-891-5308
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