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1710550843
MAGON LORD
AUGUSTA, GA
NPI
1710550843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN260963)
Enumeration Date
2021-07-16
Last Update Date
2021-09-09
Business Address
MAGON LORD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-722-9011
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Mailing Address
MAGON LORD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-722-9011
Copy
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