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1972656502
BRIAN LEE LANCASTER
AUGUSTA, GA
NPI
1972656502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA AT000520)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mr. BRIAN LEE LANCASTER ATC, LAT
3651 WHEELER RD
AUGUSTA, GA 30909-6521
Phone number: 706-651-2272
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Mailing Address
Mr. BRIAN LEE LANCASTER ATC, LAT
311 FARMINGTON DR
EVANS, GA 30809-6052
Phone number: 706-854-8818
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