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1811558901
ELAINA MIRANDA AVERETT
JASPER, GA
NPI
1811558901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN218486)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
Mrs. ELAINA MIRANDA AVERETT FNP-BC
580 HAMPTON FARMS TRL
JASPER, GA 30143-5571
Phone number: 770-894-7820
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Mailing Address
Mrs. ELAINA MIRANDA AVERETT FNP-BC
580 HAMPTON FARMS TRL
JASPER, GA 30143-5571
Phone number:
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