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Individual

JENNY DIEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1114 GA HIGHWAY 96, KATHLEEN, GA 31047-2111
(478) 987-6788
Mailing address
512 ROSEWATER DR, WARNER ROBINS, GA 31088-8717

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030704
GA

Other

Enumeration date
09/07/2018
Last updated
09/07/2018
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