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Individual

MS. KURENAI POISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(770) 445-2128
Mailing address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(770) 445-2128

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015366
GA

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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