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1750843876
JEREL KEITH HARRIS
KENNESAW, GA
NPI
1750843876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN165803)
Enumeration Date
2019-04-06
Last Update Date
2022-03-25
Business Address
JEREL KEITH HARRIS NP-C
1677 ARCHER ESTATES DR NW
KENNESAW, GA 30152-8101
Phone number: 478-228-8506
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Mailing Address
JEREL KEITH HARRIS NP-C
1677 ARCHER ESTATES DR NW
KENNESAW, GA 30152-8101
Phone number: 478-228-8506
Copy
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