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Individual

GINA R. DAISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1800 10TH AVE, COLUMBUS, GA 31901-1513
(706) 571-1995
Mailing address
749 QUAIL CREEK DR, COLUMBUS, GA 31907-6511
(706) 685-9755

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022594
GA

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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