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1124046867
THOMAS E STAUTER
GAINESVILLE, GA
NPI
1124046867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 000954)
Enumeration Date
2006-07-18
Last Update Date
2007-11-07
Business Address
-- THOMAS E STAUTER PA
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-536-2146
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Mailing Address
-- THOMAS E STAUTER PA
PO BOX 2938
GAINESVILLE, GA 30503-2938
Phone number: 770-536-2146
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