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1568827590
JASMINE CHEYENNE BUTLER
WILSON, NC
NPI
1568827590
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Former Name
JASMINE CHEYENNE FULLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06162)
Enumeration Date
2015-12-17
Last Update Date
2019-08-22
Business Address
JASMINE CHEYENNE BUTLER PA
1705 TARBORO ST SW
WILSON, NC 27893
Phone number: 252-399-8040
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Mailing Address
JASMINE CHEYENNE BUTLER PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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