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1689040693
VIRGINIA BORDERS
AUGUSTA, GA
NPI
1689040693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN208788)
Enumeration Date
2015-08-13
Last Update Date
2015-08-13
Business Address
-- VIRGINIA BORDERS
1125 DRUID PARK AVE
AUGUSTA, GA 30904-5849
Phone number: 706-738-0455
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Mailing Address
-- VIRGINIA BORDERS
1109 MILLEDGE RD
AUGUSTA, GA 30904-4458
Phone number: 912-342-3957
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