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1518611912
SAMUEL PAUL MCMANAMA
AUGUSTA, GA
NPI
1518611912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-02-05
Last Update Date
2022-07-01
Business Address
SAMUEL PAUL MCMANAMA
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912-0004
Phone number: 706-721-9416
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Mailing Address
SAMUEL PAUL MCMANAMA
1120 15TH ST # GC5110
AUGUSTA, GA 30912-0004
Phone number:
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