russell w phelon
Medical Practice at Greene St, Augusta, GA

License number
Florida 555892
Issued Date
Mar 1, 2017
Effective Date
Mar 1, 2017
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
725 Greene St, Augusta, GA 30901
Phone
(803) 646-4848
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Russell D Phelon, age 112
3758 Evans To Locks Rd, Augusta, GA 30907
(706) 228-4950
(706) 228-1890

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