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Individual

MRS. JANE BENNETT OGLESBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5900
(706) 721-5903
Mailing address
751 SEVEN LAKES BLVD, MARTINEZ, GA 30907-9401
(706) 868-7279

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN042499
GA

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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