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1710417571
DAVINA L GEORGE
BRIDGETON, MO
NPI
1710417571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2016035063)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
DAVINA L GEORGE NP
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number:
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Mailing Address
DAVINA L GEORGE NP
616 FM 1960 RD W STE 230
HOUSTON, TX 77090-3024
Phone number: 877-749-7428
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