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1528679735
TA-TANISHA PARKS
ALBANY, GA
NPI
1528679735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: GA 2019015776)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
TA-TANISHA PARKS NP
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 229-312-1000
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Mailing Address
TA-TANISHA PARKS NP
500 W 3RD AVE STE 101
ALBANY, GA 31701-1900
Phone number: 229-312-5800
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