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1710068770
SHIRLEY MIKE OATES
VIDALIA, GA
NPI
1710068770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN115236)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Mrs. SHIRLEY MIKE OATES Certified Pediatric
414 LUGENIA BLVD
VIDALIA, GA 30474
Phone number: 912-537-9355
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Mailing Address
Mrs. SHIRLEY MIKE OATES Certified Pediatric
PO BOX 569 414 LUGENIA BLVD
VIDALIA, GA 30475
Phone number: 912-537-9355
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