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1467653394
KIM R LEVERETT
COVINGTON, GA
NPI
1467653394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN140100 CNS PMH NP)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Mrs. KIM R LEVERETT APRN, BC
5278 ADAMS ST NE
COVINGTON, GA 30014-2628
Phone number: 770-786-2201
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Mailing Address
Mrs. KIM R LEVERETT APRN, BC
5278 ADAMS ST NE
COVINGTON, GA 30014-2628
Phone number: 770-786-2201
Copy
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