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1619591120
ELISABETH ANN PROENZA
VIDALIA, GA
NPI
1619591120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN156767)
Enumeration Date
2020-05-31
Last Update Date
2021-12-08
Business Address
Mrs. ELISABETH ANN PROENZA FNP-C
210 MOSE COLEMAN DR
VIDALIA, GA 30474-8677
Phone number: 912-308-6484
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Mailing Address
Mrs. ELISABETH ANN PROENZA FNP-C
210 MOSE COLEMAN DR
VIDALIA, GA 30474-8677
Phone number: 912-537-2200
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