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1437272796
MICHELLE B FAN
THOMASVILLE, GA
NPI
1437272796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN147926NP)
Enumeration Date
2007-04-09
Last Update Date
2009-10-23
Business Address
-- MICHELLE B FAN NP-C
1102 SMITH AVE
THOMASVILLE, GA 31792-5739
Phone number: 229-225-4335
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Mailing Address
-- MICHELLE B FAN NP-C
129 SWEETBRIAR LAKES DR
THOMASVILLE, GA 31757-0001
Phone number: 229-236-6630
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