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1184476517
JENO R LIANGCO
AUGUSTA, GA
NPI
1184476517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN293270)
Enumeration Date
2024-04-01
Last Update Date
2024-07-19
Business Address
JENO R LIANGCO
989 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912-2613
Phone number: 706-721-2171
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Mailing Address
JENO R LIANGCO
1120 15TH ST # OR6000
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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