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1487400966
JOHN HARRISON LANDRUM
AUGUSTA, GA
NPI
1487400966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA 16489)
Enumeration Date
2024-04-25
Last Update Date
2024-06-10
Business Address
JOHN HARRISON LANDRUM DO
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0004
Phone number: 706-721-2423
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Mailing Address
JOHN HARRISON LANDRUM DO
4290 SUGAR CREEK LN
CUMMING, GA 30041-2886
Phone number:
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