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1366200834
LUKE SCANLAN
AUGUSTA, GA
NPI
1366200834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
LUKE SCANLAN
1120 15TH ST
AUGUSTA, GA 30912-0006
Phone number: 706-721-3217
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Mailing Address
LUKE SCANLAN
1120 15TH ST
AUGUSTA, GA 30912-0006
Phone number:
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