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1982229399
JESSE K LAVERDIERE
FORT GORDON, GA
NPI
1982229399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
Dr. JESSE K LAVERDIERE DO
300 E HOSPITAL RD
FORT GORDON, GA 30905
Phone number: 706-787-5811
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Mailing Address
Dr. JESSE K LAVERDIERE DO
1021 ALDER WAY APT 121
EVANS, GA 30809-9152
Phone number: 724-322-6181
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