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1073598645
LEONARD DAVEY DERAMUS
ATHENS, GA
NPI
1073598645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 001541)
Enumeration Date
2005-12-07
Last Update Date
2013-01-16
Business Address
Mr. LEONARD DAVEY DERAMUS P.A.-C
55 CARLTON ST
ATHENS, GA 30602-1503
Phone number: 706-542-8609
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Mailing Address
Mr. LEONARD DAVEY DERAMUS P.A.-C
55 CARLTON ST
ATHENS, GA 30602-1503
Phone number: 706-542-8609
Copy
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