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Individual
MRS. TAMMY W RUSTIN
Active
Individual
MRS. TAMMY W RUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016347
GA
Other
Enumeration date
03/25/2010
Last updated
01/30/2017
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