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1346797065
TREVINO C SIMMONS
ELLENWOOD, GA
NPI
1346797065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN192990)
Enumeration Date
2016-09-10
Last Update Date
2016-09-10
Business Address
TREVINO C SIMMONS FNP
256 ESSEX PL
ELLENWOOD, GA 30294-4106
Phone number: 770-380-9756
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Mailing Address
TREVINO C SIMMONS FNP
256 ESSEX PL
ELLENWOOD, GA 30294-4106
Phone number: 770-380-9756
Copy
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