JILL BOOMS

ATHENS, GA
NPI1386092997
Former NameJILL DORMAN-POTTHOFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN082686)
Enumeration Date2016-05-25
Last Update Date2016-05-25
Business Address
-- JILL BOOMS RN
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
Mailing Address
-- JILL BOOMS RN
250 NORTH AVE
ATHENS, GA 30601-2244
Phone number: 706-389-6789
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