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1023311297
JOHNETTA TRAVIS
AUGUSTA, GA
NPI
1023311297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WW0101X Registered Nurse, Women's Health Care, Ambulatory
(Licence: GA RN14321)
Enumeration Date
2010-12-10
Last Update Date
2010-12-10
Business Address
-- JOHNETTA TRAVIS RN
950 LANEY WALKER BLVD
AUGUSTA, GA 30901-2960
Phone number: 706-721-5900
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Mailing Address
-- JOHNETTA TRAVIS RN
3407 DANVERS AVE
AUGUSTA, GA 30906-5172
Phone number:
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