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1609432285
ELIZABETH SHAKE
AUGUSTA, GA
NPI
1609432285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-19
Last Update Date
2022-06-30
Business Address
ELIZABETH SHAKE
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-7005
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Mailing Address
ELIZABETH SHAKE
1475 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-7005
Copy
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