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1154979177
JEWELIA GAHAN
TRUSSVILLE, AL
NPI
1154979177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-159555)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
JEWELIA GAHAN CRNP
159 MAIN ST
TRUSSVILLE, AL 35173-1435
Phone number: 205-655-2110
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Mailing Address
JEWELIA GAHAN CRNP
159 MAIN ST
TRUSSVILLE, AL 35173-1435
Phone number: 205-655-2110
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