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1023566163
DEVERA MOELLER
CANTON, GA
NPI
1023566163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: GA PHH004103)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
Dr. DEVERA MOELLER PharmD
201 HOSPITAL RD
CANTON, GA 30114-2408
Phone number: 770-721-4190
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Mailing Address
Dr. DEVERA MOELLER PharmD
900 BEAUMONT CT
CANTON, GA 30114-8186
Phone number: 770-721-4190
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