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1861043101
CHIQUITA FOREMAN
AUGUSTA, GA
NPI
1861043101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA rn256317)
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
CHIQUITA FOREMAN
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3812
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Mailing Address
CHIQUITA FOREMAN
2103 OAK LEAF WAY
AUGUSTA, GA 30906-5113
Phone number: 706-434-9330
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