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Individual

MR. BRUCE BROOKSBANK BURDESHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
731 WHITLOCK AVE SW, MARIETTA, GA 30064-3033
(770) 427-8155
Mailing address
731 WHITLOCK AVE SW, MARIETTA, GA 30064-3033
(770) 427-8155

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09359
GA

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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