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1164249033
BEAU NIKOLAS PEREGINO
AUGUSTA, GA
NPI
1164249033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT017428)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
BEAU NIKOLAS PEREGINO DPT
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2743
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Mailing Address
BEAU NIKOLAS PEREGINO DPT
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3484
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