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1629843446
DEIDRA MIESHA PRINTUP
COVINGTON, GA
NPI
1629843446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN223974)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
DEIDRA MIESHA PRINTUP FNP-C
10600 LOCHRIDGE BLVD
COVINGTON, GA 30014-4411
Phone number: 229-391-3500
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Mailing Address
DEIDRA MIESHA PRINTUP FNP-C
1948 OLD OCILLA RD
TIFTON, GA 31794-1644
Phone number: 229-391-3500
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