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1124772918
HARRISON MACNELLIS
AUGUSTA, GA
NPI
1124772918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
Dr. HARRISON MACNELLIS
1120 15TH ST # GC5110
AUGUSTA, GA 30912-0004
Phone number: 706-721-2251
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Mailing Address
Dr. HARRISON MACNELLIS
1120 15TH ST # GC5110
AUGUSTA, GA 30912-0004
Phone number:
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