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Individual

MRS. JANE FAYE BERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6865 BANNISTER PARK LN, CUMMING, GA 30028-5970
(770) 886-9713
Mailing address
6865 BANNISTER PARK LN, CUMMING, GA 30028-5970
(770) 886-9713

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN024599
GA

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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