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1306333083
LEVI JELKS
RIVERDALE, GA
NPI
1306333083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN130092)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
LEVI JELKS Nurse Practitioner
83 UPPER RIVERDALE ROAD
RIVERDALE, GA 30274-3029
Phone number: 770-968-7933
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Mailing Address
LEVI JELKS Nurse Practitioner
1939 HIGHWAY 138 SW
RIVERDALE, GA 30296-1819
Phone number:
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