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1750735619
ANTHONY GATENS
LAGRANGE, GA
NPI
1750735619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR R092397)
Enumeration Date
2016-04-18
Last Update Date
2022-12-13
Business Address
ANTHONY GATENS
2169 W POINT RD
LAGRANGE, GA 30240-4002
Phone number: 706-668-5140
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Mailing Address
ANTHONY GATENS
2169 W POINT RD
LAGRANGE, GA 30240-4002
Phone number: 706-668-5140
Copy
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