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1942493713
CARLOS DEOAN STEWART
AUGUSTA, GA
NPI
1942493713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN164032)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
-- CARLOS DEOAN STEWART
640 AIKEN ST
AUGUSTA, GA 30901-2068
Phone number: 706-495-6966
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Mailing Address
-- CARLOS DEOAN STEWART
640 AIKEN ST
AUGUSTA, GA 30901-2068
Phone number:
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