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1588703565
SHANDA T HARTLEY
CANTON, GA
NPI
1588703565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN174554 NP)
Enumeration Date
2007-02-06
Last Update Date
2015-03-18
Business Address
MRS. SHANDA T HARTLEY FNP
207 CRESTMONT WAY
CANTON, GA 30114-8875
Phone number: 678-880-6698
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Mailing Address
MRS. SHANDA T HARTLEY FNP
207 CRESTMONT WAY
CANTON, GA 30114-8875
Phone number: 678-493-7374
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