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1700308509
TIFFANY LEE BOULANGER
SAVANNAH, GA
NPI
1700308509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA 236517)
Enumeration Date
2017-07-13
Last Update Date
2017-08-14
Business Address
TIFFANY LEE BOULANGER AGACNP
12345 MERCY BLVD
SAVANNAH, GA 31419-3436
Phone number: 912-927-3046
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Mailing Address
TIFFANY LEE BOULANGER AGACNP
7400 ABERCORN STREET STE 704 BOX 104
SAVANNAH, GA 31406-2454
Phone number: 912-232-9700
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