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1104801265
RONALD S REAGIN
BAXLEY, GA
NPI
1104801265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA 000613)
Enumeration Date
2005-12-13
Last Update Date
2007-10-16
Business Address
Dr. RONALD S REAGIN DPM
656 A-B S MAIN ST
BAXLEY, GA 31515
Phone number: 912-367-5281
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Mailing Address
Dr. RONALD S REAGIN DPM
PO BOX 708 656 A-B S MAIN ST
BAXLEY, GA 31515-0708
Phone number: 912-367-5281
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