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1659329514
DAVINA SARA BRASELTON
GAINESVILLE, GA
NPI
1659329514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 0044136)
Enumeration Date
2006-05-04
Last Update Date
2008-12-18
Business Address
Mrs. DAVINA SARA BRASELTON PA-C
605 S. ENOTA DR.
GAINESVILLE, GA 30501
Phone number: 770-538-0208
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Mailing Address
Mrs. DAVINA SARA BRASELTON PA-C
605 S. ENOTA DR.
GAINESVILLE, GA 30501
Phone number: 770-538-0208
Copy
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