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1437760097
JACEY LAINE DEVAUGHN
AUGUSTA, GA
NPI
1437760097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN258788)
Enumeration Date
2020-08-16
Last Update Date
2024-04-25
Business Address
JACEY LAINE DEVAUGHN NP
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912-4788
Phone number: 706-721-2505
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Mailing Address
JACEY LAINE DEVAUGHN NP
PO BOX 925
AUGUSTA, GA 30903-0925
Phone number: 706-854-6008
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