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1316186224
JESSICA B BANE
ATHENS, GA
NPI
1316186224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN170415)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- JESSICA B BANE CRNA
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-543-3449
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Mailing Address
-- JESSICA B BANE CRNA
PO BOX 7297
ATHENS, GA 30604-7297
Phone number: 706-543-3449
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