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1861957169
ETHAN D BRUBAKER
COLUMBUS, GA
NPI
1861957169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-01-31
Last Update Date
2021-07-30
Business Address
ETHAN D BRUBAKER PA-C
6262 VETERANS PKWY
COLUMBUS, GA 31909-3540
Phone number: 706-324-6661
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Mailing Address
ETHAN D BRUBAKER PA-C
6262 VETERANS PKWY
COLUMBUS, GA 31909-3540
Phone number: 706-324-6661
Copy
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