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Individual

MRS. GINGER LAVENA HALSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
200 W 10TH ST, COOKEVILLE, TN 38501-6077
(931) 646-7551
Mailing address
250 PAT CARR LN, ALPINE, TN 38543-6172
(931) 646-7551

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9079
TN

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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