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Individual

MR. JAKAI BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT I

Contact information

Practice address
45 HEATON DR, COVINGTON, GA 30016-0224
(678) 965-3460
Mailing address
45 HEATON DR, COVINGTON, GA 30016-0224
(678) 965-3460

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
I36519
GA

Other

Enumeration date
01/02/2023
Last updated
01/02/2023
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