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Individual

JULIE A. SPORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
11 GLYNN PLZ, BRUNSWICK, GA 31520-3641
(912) 554-8510
(912) 280-1523
Mailing address
3441 CYPRESS MILL RD, SUITE 102, BRUNSWICK, GA 31520-2878
(912) 554-8510
(912) 264-5965

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122483
GA

Other

Enumeration date
02/17/2010
Last updated
02/17/2010
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