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1437614013
MICHELLE N HOLDER
FAYETTEVILLE, GA
NPI
1437614013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: GA 172059)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
MRS. MICHELLE N HOLDER
249 OTTER CIR
FAYETTEVILLE, GA 30215-5264
Phone number: 404-539-7411
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Mailing Address
MRS. MICHELLE N HOLDER
249 OTTER CIR
FAYETTEVILLE, GA 30215-5264
Phone number: 404-539-7411
Copy
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