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1598308561
TARA DANIEL
STATESBORO, GA
NPI
1598308561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN227792)
Enumeration Date
2019-10-23
Last Update Date
2023-12-20
Business Address
TARA DANIEL
1044 BERMUDA RUN
STATESBORO, GA 30458-3045
Phone number: 912-871-4847
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Mailing Address
TARA DANIEL
83 OLD GROVELAND RD
PEMBROKE, GA 31321-3164
Phone number:
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