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1487070314
LISA JEWELL
MCDONOUGH, GA
NPI
1487070314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN221418)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
LISA JEWELL
50 KELLY RD
MCDONOUGH, GA 30253-6097
Phone number: 770-957-1887
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Mailing Address
LISA JEWELL
50 KELLY RD
MCDONOUGH, GA 30253-6097
Phone number: 770-957-1887
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