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1700360526
SEBASTIAN AFONSO
ATHENS, GA
NPI
1700360526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 8894)
Enumeration Date
2018-09-18
Last Update Date
2019-10-08
Business Address
SEBASTIAN AFONSO PAC
728 COBB ST
ATHENS, GA 30606-2942
Phone number: 706-548-3019
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Mailing Address
SEBASTIAN AFONSO PAC
728 COBB ST
ATHENS, GA 30606-2942
Phone number: 706-548-3019
Copy
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