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1386331734
SHALESE AYCOCK
VALDOSTA, GA
NPI
1386331734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA NCO-000001)
Enumeration Date
2023-04-18
Last Update Date
2024-03-14
Business Address
SHALESE AYCOCK NP
3294 N OAK STREET EXT
VALDOSTA, GA 31605-6473
Phone number: 229-241-1188
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Mailing Address
SHALESE AYCOCK NP
3294 N OAK STREET EXT
VALDOSTA, GA 31605-6473
Phone number: 229-241-1188
Copy
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