Individual
DEBORAH MBONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1597 HOGANSVILLE RD, LAGRANGE, GA 30241-1423
(706) 242-4902
Mailing address
1597 HOGANSVILLE RD, LAGRANGE, GA 30241-1423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034037
GA
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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