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1316059793
AMANDA HOWINGTON WARD
LAGRANGE, GA
NPI
1316059793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 002752)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA HOWINGTON WARD Physician Assistant
1605 WHITESVILLE ST
LAGRANGE, GA 30240-5903
Phone number: 706-882-5119
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Mailing Address
Mrs. AMANDA HOWINGTON WARD Physician Assistant
1605 WHITESVILLE ST
LAGRANGE, GA 30240-5903
Phone number: 706-882-5119
Copy
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