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1497229892
JANNETTE MARVA PORTER
GAINESVILLE, GA
NPI
1497229892
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Former Name
JANNETTE MARVA LORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN193175)
Enumeration Date
2019-01-18
Last Update Date
2023-10-18
Business Address
JANNETTE MARVA PORTER AGACNP
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-534-2020
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Mailing Address
JANNETTE MARVA PORTER AGACNP
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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