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1407106511
DORIS DEAN JETER
LAWRENCEVILLE, GA
NPI
1407106511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN218680)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- DORIS DEAN JETER
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2345
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Mailing Address
-- DORIS DEAN JETER
2825 NORTHEAST EXPY NE APT. B3
ATLANTA, GA 30345-4206
Phone number: 610-850-4139
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