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1992810568
MARK PETRY
AUGUSTA, GA
NPI
1992810568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Mr. MARK PETRY
2806 SCARLETT DR
AUGUSTA, GA 30909-2630
Phone number: 706-736-3392
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Mailing Address
Mr. MARK PETRY
2806 SCARLETT DR
AUGUSTA, GA 30909-2630
Phone number:
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