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1255721122
JASMINE RENEE MCDANIEL
DECATUR, GA
NPI
1255721122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN234318)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
-- JASMINE RENEE MCDANIEL
3111 JEFFERSON SQUARE CT
DECATUR, GA 30030-1729
Phone number: 601-467-2261
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Mailing Address
-- JASMINE RENEE MCDANIEL
3111 JEFFERSON SQUARE CT
DECATUR, GA 30030-1729
Phone number: 601-467-2261
Copy
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