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Individual
MRS. JENNIFER LARUE DAVITT
Active
Individual
MRS. JENNIFER LARUE DAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN147341
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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