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1780847699
TREVOR FREDERICK EZZELL
GAINESVILLE, GA
NPI
1780847699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN152048)
Enumeration Date
2008-07-10
Last Update Date
2012-02-20
Business Address
-- TREVOR FREDERICK EZZELL FNP
655 JESSE JEWELL PKWY SE STE B
GAINESVILLE, GA 30501-3854
Phone number: 770-532-7092
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Mailing Address
-- TREVOR FREDERICK EZZELL FNP
PO BOX 658
GAINESVILLE, GA 30503-0658
Phone number: 770-718-1122
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