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1912963141
LAWRENCE O CROCKETT
ATHENS, GA
NPI
1912963141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: GA AUD003507)
Enumeration Date
2006-04-25
Last Update Date
2009-01-27
Business Address
-- LAWRENCE O CROCKETT AuD
150 NACOOCHEE AVE
ATHENS, GA 30601-1823
Phone number: 706-546-5689
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Mailing Address
-- LAWRENCE O CROCKETT AuD
150 NACOOCHEE AVE
ATHENS, GA 30601-1823
Phone number: 706-546-5689
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