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Individual

KATIE HARVEY GAINOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
13775 US HIGHWAY 19 S, THOMASVILLE, GA 31792-5398
(229) 228-6419
Mailing address
13775 US HIGHWAY 19 S, THOMASVILLE, GA 31792-5398
(229) 228-6419

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS55791
FL
183500000X
Pharmacist
Primary
RPH029674
GA

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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