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1104406438
KEVIN NAVARRETE
LOGANVILLE, GA
NPI
1104406438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN290374)
Enumeration Date
2021-04-12
Last Update Date
2021-04-27
Business Address
KEVIN NAVARRETE NP
4295 PERRINTON TRL
LOGANVILLE, GA 30052-8922
Phone number: 253-332-1344
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Mailing Address
KEVIN NAVARRETE NP
4295 PERRINTON TRL
LOGANVILLE, GA 30052-8922
Phone number: 253-332-1344
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