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Individual

JALISA COVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2711 POINTE NORTH BLVD APT 226, ALBANY, GA 31721-1616
(229) 255-6449
Mailing address
2711 POINTE NORTH BLVD APT 226, ALBANY, GA 31721-1616
(229) 255-6449

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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