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1912600776
CAROL ASFOURA MEDINA
MOULTRIE, GA
NPI
1912600776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
CAROL ASFOURA MEDINA MD
1 MAGNOLIA CT
MOULTRIE, GA 31768-6764
Phone number: 229-502-9753
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Mailing Address
CAROL ASFOURA MEDINA MD
1 MAGNOLIA CT
MOULTRIE, GA 31768-6764
Phone number: 229-502-9753
Copy
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