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1922423326
JELESA SHANEICE MARTIN
JASPER, AL
NPI
1922423326
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Former Name
JELESA WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-131026)
Enumeration Date
2014-02-22
Last Update Date
2018-09-18
Business Address
Ms. JELESA SHANEICE MARTIN NP
907 11TH ST NE
JASPER, AL 35504-8821
Phone number: 205-221-9111
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Mailing Address
Ms. JELESA SHANEICE MARTIN NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276
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