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1528525409
NICOLE SAMIRA LOPEZ
AUGUSTA, GA
NPI
1528525409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 11945)
Enumeration Date
2019-02-27
Last Update Date
2024-07-30
Business Address
NICOLE SAMIRA LOPEZ
1120 15TH ST
AUGUSTA, GA 30912-1000
Phone number: 706-721-4951
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Mailing Address
NICOLE SAMIRA LOPEZ
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 067-721-4951
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