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1194039388
JEFFREY LEE JENNELL
AUGUSTA, GA
NPI
1194039388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
-- JEFFREY LEE JENNELL
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
-- JEFFREY LEE JENNELL
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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