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Individual
MIRANDA BURGMAN
Active
Individual
MIRANDA BURGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-032225
PHARMACIST LICENSE NUMBER
GA
Enumeration date
08/06/2020
Last updated
08/13/2021
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