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1023310182
WOUTER JOHAN CEYSSENS
AUGUSTA, GA
NPI
1023310182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 5932)
Enumeration Date
2010-11-23
Last Update Date
2013-02-15
Business Address
Mr. WOUTER JOHAN CEYSSENS PA-C
3121 PEACH ORCHARD RD SUITE 102
AUGUSTA, GA 30906-3521
Phone number: 706-792-5040
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Mailing Address
Mr. WOUTER JOHAN CEYSSENS PA-C
3121 PEACH ORCHARD RD SUITE 102
AUGUSTA, GA 30906-3521
Phone number: 706-792-5040
Copy
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