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1295985125
LAUREN OURT WIEME
EVANS, GA
NPI
1295985125
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Former Name
LAUREN MEREDITH OURT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 005449)
Enumeration Date
2008-09-29
Last Update Date
2008-10-03
Business Address
MRS. LAUREN OURT WIEME PA-C
465 N. BELAIR RD SUITE 1B
EVANS, GA 30809-3189
Phone number: 706-228-3125
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Mailing Address
MRS. LAUREN OURT WIEME PA-C
PO BOX 1547
EVANS, GA 30809-1547
Phone number: 706-228-3125
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