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1477548626
VIVIAN M HUTTON
LAGRANGE, GA
NPI
1477548626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 002475)
Enumeration Date
2005-09-14
Last Update Date
2019-11-05
Business Address
VIVIAN M HUTTON PA-C
1551 DOCTORS DR BUILDING 200
LAGRANGE, GA 30240-4139
Phone number: 706-884-2641
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Mailing Address
VIVIAN M HUTTON PA-C
1551 DOCTORS DR BUILDING 200
LAGRANGE, GA 30240-4139
Phone number: 706-884-2641
Copy
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