Individual
JULICE BRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 LOWER FAYETTEVILLE RD, NEWNAN, GA 30265-1132
(678) 423-8891
Mailing address
1035 LOWER FAYETTEVILLE RD, NEWNAN, GA 30265-1132
(678) 423-8891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030777
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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