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Individual

ANTHONY G. JONGEJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMP, LMT

Contact information

Practice address
664 SCRANTON RD, STE 101, BRUNSWICK, GA 31520-1945
(912) 577-3991
Mailing address
211 WELLINGTON PL, BRUNSWICK, GA 31523-7067
(912) 577-3991

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002240
GA

Other

Enumeration date
04/15/2008
Last updated
02/18/2010
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