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1629167580
MARY GUMP FLY
AUGUSTA, GA
NPI
1629167580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA rn163789)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Ms. MARY GUMP FLY ACNP
1127 DRUID PARK AVE
AUGUSTA, GA 30904-5849
Phone number: 706-364-6485
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Mailing Address
Ms. MARY GUMP FLY ACNP
1231 GLENN AVE
AUGUSTA, GA 30904-4615
Phone number: 706-736-1731
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