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1750445300
MARY ALICE GALLANT
WATKINSVILLE, GA
NPI
1750445300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-12-20
Last Update Date
2018-08-07
Business Address
MARY ALICE GALLANT PA
2061 EXPERIMENT STATION RD
WATKINSVILLE, GA 30677
Phone number: 706-310-0324
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Mailing Address
MARY ALICE GALLANT PA
2061 EXPERIMENT STATION RD
WATKINSVILLE, GA 30677-5328
Phone number: 706-310-0324
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