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1477335891
MARLA KRISTEN MIKELL
VIDALIA, GA
NPI
1477335891
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Former Name
MARLA KRISTEN MIKELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN275033)
Enumeration Date
2023-10-19
Last Update Date
2023-11-06
Business Address
MARLA KRISTEN MIKELL FNP-C
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474-8852
Phone number: 912-535-3500
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Mailing Address
MARLA KRISTEN MIKELL FNP-C
956 BURNELL GASKINS RD
WILLACOOCHEE, GA 31650-6136
Phone number:
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