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1992374086
LUIS GONZALO RUEDA CARRILLO
AUGUSTA, GA
NPI
1992374086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA 12937)
Enumeration Date
2021-06-22
Last Update Date
2021-09-01
Business Address
Dr. LUIS GONZALO RUEDA CARRILLO MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-7005
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Mailing Address
Dr. LUIS GONZALO RUEDA CARRILLO MD
1120 15TH ST
AUGUSTA, GA 30912-0198
Phone number: 706-721-7005
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