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Individual

MRS. RAMONA L. PANTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1061 HARMON AVE STE 2J11B, FORT STEWART, GA 31314-5641
(912) 435-5955
(912) 435-7089
Mailing address
1061 HARMON AVE STE 2J11B, FORT STEWART, GA 31314-5641
(912) 435-5955
(912) 435-7089

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
061483
GA

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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