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Individual

JODI HANSGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6175
Mailing address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6175

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
38756
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
020148
GA

Other

Enumeration date
08/05/2011
Last updated
03/21/2013
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