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1972963155
SHAMEKA NICOLE MASON BROADNAX
SAVANNAH, GA
NPI
1972963155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN221070)
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- SHAMEKA NICOLE MASON BROADNAX
1395 EISENHOWER DR
SAVANNAH, GA 31406-3901
Phone number: 912-356-2157
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Mailing Address
-- SHAMEKA NICOLE MASON BROADNAX
2238 IOWA ST
SAVANNAH, GA 31404-1930
Phone number: 912-713-8178
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