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1194896704
JAMES I MASIONGALE
AUGUSTA, GA
NPI
1194896704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN108504)
Enumeration Date
2006-11-13
Last Update Date
2008-06-19
Business Address
-- JAMES I MASIONGALE CRNA
1120 15TH ST ROOM 2144
AUGUSTA, GA 30912-0004
Phone number: 706-721-3873
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Mailing Address
-- JAMES I MASIONGALE CRNA
PO BOX 28068
CHATTANOOGA, TN 37424-8068
Phone number: 877-899-1033
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