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1558810788
SALLIE JAYNE LISLE
ATHENS, GA
NPI
1558810788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN085783)
Enumeration Date
2016-09-29
Last Update Date
2020-01-20
Business Address
SALLIE JAYNE LISLE ACAG DNP
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 706-546-7646
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Mailing Address
SALLIE JAYNE LISLE ACAG DNP
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-6634
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