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1245360379
ERIC EUGENE LANE
ALBANY, GA
NPI
1245360379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA000910)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
ERIC EUGENE LANE PT ASSISTANT
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 229-312-4411
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Mailing Address
ERIC EUGENE LANE PT ASSISTANT
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 229-312-4411
Copy
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