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Individual

JOWANDA LAPRISHA TAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 435-6040
(912) 435-5062
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 435-6040
(912) 435-5062

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023917
GA

Other

Enumeration date
03/05/2008
Last updated
10/05/2010
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