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1255980926
JAMIE MARIE CONWELL
KENNESAW, GA
NPI
1255980926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN220281)
Enumeration Date
2019-09-05
Last Update Date
2019-09-09
Business Address
JAMIE MARIE CONWELL
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152-3938
Phone number: 707-515-9000
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Mailing Address
JAMIE MARIE CONWELL
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152-3938
Phone number: 205-799-0778
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