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Individual

JANE CAMPBELL DUNLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CRNP

Contact information

Practice address
1551 DOCTORS DRIVE, LAGRANGE, GA 30240-4139
(706) 884-2641
(706) 884-2353
Mailing address
1551 DOCTORS DRIVE, LAGRANGE, GA 30240-4139
(706) 884-2641
(706) 884-2353

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN201888
GA
363LF0000X
Family Nurse Practitioner
RN201888
GA

Other

Enumeration date
03/30/2009
Last updated
08/13/2012
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