WILLEM JEFFERSON DE VRIES

AUGUSTA, GA
NPI1235928466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  17397)
Enumeration Date2025-05-05
Last Update Date2025-05-05
Business Address
WILLEM JEFFERSON DE VRIES
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0004
Phone number: 706-721-2423
Mailing Address
WILLEM JEFFERSON DE VRIES
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0004
Phone number:
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