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Individual

KARLING BLAIR GRAVENSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8598
Mailing address
7221 NW 18TH AVE, GAINESVILLE, FL 32605-3127
(352) 246-4424

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/23/2021
Last updated
03/23/2021
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