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Individual

JACQUELYN NICOLE BOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 457-2300
(478) 454-3934
Mailing address
821 N COBB ST, EDUCATION DEPT, MILLEDGEVILLE, GA 31061-2343
(478) 457-2300
(478) 454-3934

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003581
GA

Other

Enumeration date
08/24/2010
Last updated
09/15/2010
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