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1154758563
TIMOTHY LEWIS PARKER
FORT GORDON, GA
NPI
1154758563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
Mr. TIMOTHY LEWIS PARKER
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-8290
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Mailing Address
Mr. TIMOTHY LEWIS PARKER
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number:
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