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1730446394
JOSHUA RYAN FANN
SAVANNAH, GA
NPI
1730446394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: GA 57)
Enumeration Date
2012-04-19
Last Update Date
2022-12-01
Business Address
JOSHUA RYAN FANN CP
918 E 72ND ST
SAVANNAH, GA 31405-4917
Phone number: 912-344-9599
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Mailing Address
JOSHUA RYAN FANN CP
918 E 72ND ST
SAVANNAH, GA 31405-4917
Phone number: 912-344-9599
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