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Individual
EILEEN MARIE MANNING
Active
Individual
EILEEN MARIE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23903
SC
363LF0000X
Family Nurse Practitioner
RN203526
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23903
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN203526
GA
Other
Enumeration date
10/03/2019
Last updated
08/21/2024
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