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1578850103
VANN FRAYLICK JORDAN
AUGUSTA, GA
NPI
1578850103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: GA PT010322)
Enumeration Date
2011-07-04
Last Update Date
2011-07-04
Business Address
-- VANN FRAYLICK JORDAN DPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-922-6555
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Mailing Address
-- VANN FRAYLICK JORDAN DPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-922-6555
Copy
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