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1427664465
SHANNA LYNN BEAULIEU
MACON, GA
NPI
1427664465
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Former Name
SHANNA LYNN SPEER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN273375)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
SHANNA LYNN BEAULIEU
781 SPRING ST STE 230
MACON, GA 31201-2185
Phone number: 478-633-1547
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Mailing Address
SHANNA LYNN BEAULIEU
482 MIDDLE RD S
LEESBURG, GA 31763-3448
Phone number: 518-791-8241
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