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1326170663
JERRY LAMAR THOMAS
LAGRANGE, GA
NPI
1326170663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: GA 1223D0001X)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Mr. JERRY LAMAR THOMAS
128 MARTIN LUTHER KING JR CT
LAGRANGE, GA 30241-3656
Phone number: 706-884-8009
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Mailing Address
Mr. JERRY LAMAR THOMAS
128 MARTIN LUTHER KING JR CT
LAGRANGE, GA 30241-3656
Phone number: 706-884-8009
Copy
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