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1114980083
RALPH GLEN OWEN
AUGUSTA, GA
NPI
1114980083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
174400000X Specialist
(Licence: GA 10628)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
RALPH GLEN OWEN M.D.
1710 CENTRAL AVE
AUGUSTA, GA 30904-5733
Phone number: 706-733-8202
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Mailing Address
RALPH GLEN OWEN M.D.
1710 CENTRAL AVE
AUGUSTA, GA 30904-5733
Phone number: 706-733-8202
Copy
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