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1770967440
HAILEY BROCKMAN
AUGUSTA, GA
NPI
1770967440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 207596)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- HAILEY BROCKMAN FNP
1120 15TH ST BA - 4236
AUGUSTA, GA 30912-0004
Phone number: 706-627-0767
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Mailing Address
-- HAILEY BROCKMAN FNP
1120 15TH ST BA - 4236
AUGUSTA, GA 30912-0004
Phone number: 706-627-0767
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