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1831917160
ISHA DENEGALL
MOULTRIE, GA
NPI
1831917160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN191407)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
ISHA DENEGALL
209 3RD ST NW
MOULTRIE, GA 31768-3831
Phone number: 229-589-7174
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Mailing Address
ISHA DENEGALL
209 3RD ST NW
MOULTRIE, GA 31768-3831
Phone number: 229-589-7174
Copy
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