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1487022679
JACQUETTA GEORGE
WHITE PLAINS, MD
NPI
1487022679
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Former Name
JACQUETTA COLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R128536)
Enumeration Date
2015-09-04
Last Update Date
2015-09-16
Business Address
Mrs. JACQUETTA GEORGE CRNP
4200 ALTAMONT PL
WHITE PLAINS, MD 20695-3052
Phone number: 866-389-2727
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Mailing Address
Mrs. JACQUETTA GEORGE CRNP
14695 GALLANT LN
WALDORF, MD 20601-4440
Phone number: 301-632-9835
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