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1861577561
GORDON BLAKE COLLINS
AUGUSTA, GA
NPI
1861577561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN011479)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. GORDON BLAKE COLLINS DMD
950 LANEY WALKER BLVD RICHMOND COUNTY HEALTH DEPT
AUGUSTA, GA 30901
Phone number: 706-721-5891
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Mailing Address
Dr. GORDON BLAKE COLLINS DMD
950 LANEY WALKER BLVD RICHMOND COUNTY HEALTH DEPT
AUGUSTA, GA 30901
Phone number: 706-721-5891
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