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1568105492
ELIZABETH SHA DUQUE
WAYCROSS, GA
NPI
1568105492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 206810)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
Mrs. ELIZABETH SHA DUQUE APRN
2003A PIONEER ST.
WAYCROSS, GA 31501
Phone number: 912-284-1210
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Mailing Address
Mrs. ELIZABETH SHA DUQUE APRN
130 LOGANS LN
ALMA, GA 31510-3372
Phone number: 912-288-7556
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