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1861761421
JOHN BENJAMIN ALLEN
VIDALIA, GA
NPI
1861761421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 127500)
Enumeration Date
2011-12-27
Last Update Date
2011-12-27
Business Address
Mr. JOHN BENJAMIN ALLEN CSFA
1 MEADOWS PKWY
VIDALIA, GA 30474-8759
Phone number: 912-403-0518
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Mailing Address
Mr. JOHN BENJAMIN ALLEN CSFA
PO BOX 1541
VIDALIA, GA 30475-1541
Phone number: 912-403-0518
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