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1467217232
NICOLE FORRESTER RUCKER
MOULTRIE, GA
NPI
1467217232
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Other Name
NICOLE LEE FORRESTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN271979)
Enumeration Date
2024-02-20
Last Update Date
2024-11-12
Business Address
NICOLE FORRESTER RUCKER FNP-BC
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-890-3418
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Mailing Address
NICOLE FORRESTER RUCKER FNP-BC
165 E WALTON ST
BACONTON, GA 31716-7705
Phone number: 229-344-4497
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