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1407563752
JENNIFER BOHANNON
COVINGTON, GA
NPI
1407563752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: GA RN312495)
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
JENNIFER BOHANNON
215 KIRKLAND RD
COVINGTON, GA 30016-3318
Phone number: 678-209-2770
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Mailing Address
JENNIFER BOHANNON
105 JERSEY RD
OXFORD, GA 30054-3714
Phone number: 770-656-0691
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