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1336791425
JANA REVELS
WAYCROSS, GA
NPI
1336791425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 197816)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
JANA REVELS NP
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-283-3030
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Mailing Address
JANA REVELS NP
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-283-3030
Copy
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