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1104874981
LORETTA ANN PARHAM
FORT STEWART, GA
NPI
1104874981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 004410)
Enumeration Date
2006-05-04
Last Update Date
2012-08-03
Business Address
LORETTA ANN PARHAM PA-C
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-507-4492
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Mailing Address
LORETTA ANN PARHAM PA-C
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-507-4492
Copy
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