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1952701641
ALAN VEGA
VALDOSTA, GA
NPI
1952701641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
ALAN VEGA
3715 N VALDOSTA RD APT 82
VALDOSTA, GA 31602
Phone number: 229-412-2663
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Mailing Address
ALAN VEGA
3715 N VALDOSTA RD APT 82
VALDOSTA, GA 31602-1086
Phone number: 229-412-2663
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