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1538401443
JAMIE KAYLA VANCLEAVE
AUGUSTA, GA
NPI
1538401443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006756)
Enumeration Date
2013-03-19
Last Update Date
2013-09-30
Business Address
Miss JAMIE KAYLA VANCLEAVE PA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0211
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Mailing Address
Miss JAMIE KAYLA VANCLEAVE PA
1499 WALTON WAY SUITE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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