JOHN GRAVGAARD

ROBINS AFB, GA
NPI1578545281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1028021)
Enumeration Date2005-11-17
Last Update Date2007-07-08
Business Address
-- JOHN GRAVGAARD MPAS, PA-C
655 7TH ST 78 MDG/SGOMF
ROBINS AFB, GA 31098-2227
Phone number: 478-327-7880
Mailing Address
-- JOHN GRAVGAARD MPAS, PA-C
310 SWEET BAY RD
KATHLEEN, GA 31047-2127
Phone number: 478-224-0294
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