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1811463490
MARILYN NICHOLE MOULTON ROBERTS
COLUMBUS, GA
NPI
1811463490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 1404)
Enumeration Date
2018-10-22
Last Update Date
2023-04-13
Business Address
MARILYN NICHOLE MOULTON ROBERTS PA-C
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904-9272
Phone number: 706-322-1717
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Mailing Address
MARILYN NICHOLE MOULTON ROBERTS PA-C
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904-9272
Phone number: 706-322-1717
Copy
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