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1871036319
STEPHANIE COTHERN
VIDALIA, GA
NPI
1871036319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197891)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
-- STEPHANIE COTHERN FNP-BC
118 ALICE COLEMAN DR
VIDALIA, GA 30474-8860
Phone number: 912-537-6565
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Mailing Address
-- STEPHANIE COTHERN FNP-BC
215 N COLEMAN ST
SWAINSBORO, GA 30401-3530
Phone number: 478-237-6262
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