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1174092563
ANDREW PHAN
AUGUSTA, GA
NPI
1174092563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013750)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
ANDREW PHAN DPT
3206 PEACH ORCHARD RD
AUGUSTA, GA 30906-3540
Phone number: 706-798-9323
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Mailing Address
ANDREW PHAN DPT
PO BOX 5545
AUGUSTA, GA 30916-5545
Phone number:
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