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1881627867
LISA ANN RUDOLPH-WATSON
MOULTRIE, GA
NPI
1881627867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: WV 17946)
Enumeration Date
2006-07-10
Last Update Date
2023-07-28
Business Address
DR. LISA ANN RUDOLPH-WATSON
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-985-3420
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Mailing Address
DR. LISA ANN RUDOLPH-WATSON
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131
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