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1366680852
LONNIE R. HERGOTT
AUGUSTA, GA
NPI
1366680852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT003346)
Enumeration Date
2009-01-22
Last Update Date
2009-01-22
Business Address
LONNIE R. HERGOTT MPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-823-3807
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Mailing Address
LONNIE R. HERGOTT MPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-823-3807
Copy
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