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1700129681
JAINE SAMUEL
ATLANTA, GA
NPI
1700129681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN275872)
Enumeration Date
2013-03-29
Last Update Date
2018-07-15
Business Address
JAINE SAMUEL
865 N HIGHLAND AVE NE
ATLANTA, GA 30306
Phone number: 404-733-6089
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Mailing Address
JAINE SAMUEL
865 N HIGHLAND AVE NE
ATLANTA, GA 30306-4565
Phone number: 404-733-6089
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