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1003161639
GUY WALLACE
ATLANTA, GA
NPI
1003161639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 018447)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- GUY WALLACE
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319-3291
Phone number: 404-460-1924
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Mailing Address
-- GUY WALLACE
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319-3291
Phone number: 404-460-1924
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