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1235185844
MICHAEL K SHROUT
AUGUSTA, GA
NPI
1235185844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DNF000206)
Enumeration Date
2006-05-25
Last Update Date
2007-07-09
Business Address
Dr. MICHAEL K SHROUT DMD
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0502
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Mailing Address
Dr. MICHAEL K SHROUT DMD
1459 LANEY WALKER BLVD AD1501
AUGUSTA, GA 30912-0002
Phone number: 706-721-0502
Copy
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