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1477893758
MIRANDA WALLACE CRAWFORD
AUGUSTA, GA
NPI
1477893758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN192423)
Enumeration Date
2013-02-22
Last Update Date
2014-05-12
Business Address
-- MIRANDA WALLACE CRAWFORD NP
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4581
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Mailing Address
-- MIRANDA WALLACE CRAWFORD NP
1499 WALTON WAY SUITE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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