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1972020543
ANGJELIN SHTJEFNI
TIFTON, GA
NPI
1972020543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9394327)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
ANGJELIN SHTJEFNI
1909 US HIGHWAY 82 W STE 5
TIFTON, GA 31793-8213
Phone number: 229-386-8300
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Mailing Address
ANGJELIN SHTJEFNI
PO BOX 5610
CORDELE, GA 31010-5610
Phone number:
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