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Individual
SARA SCHUPP
Active
Individual
SARA SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN289960
GA
363LF0000X
Family Nurse Practitioner
Primary
RN289960
GA
Other
Enumeration date
02/05/2021
Last updated
06/07/2021
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