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1992255145
LAURA MALCOM
MACON, GA
NPI
1992255145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN222286)
Enumeration Date
2016-10-12
Last Update Date
2016-10-19
Business Address
Mrs. LAURA MALCOM NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-254-5303
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Mailing Address
Mrs. LAURA MALCOM NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-254-5303
Copy
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