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1699540112
CALEB MINGO
WAYCROSS, GA
NPI
1699540112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 11891)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
-- CALEB MINGO CAA
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-283-3030
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Mailing Address
-- CALEB MINGO CAA
110 ALLEN LN
NAHUNTA, GA 31553-2060
Phone number: 912-285-4983
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