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1104391085
JASON MICHAEL BOUVIER
MARTINEZ, GA
NPI
1104391085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: GA PHTC066137)
Enumeration Date
2018-10-08
Last Update Date
2024-02-15
Business Address
JASON MICHAEL BOUVIER CPhT
403 FURYS FERRY RD
MARTINEZ, GA 30907-9038
Phone number: 706-650-3665
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Mailing Address
JASON MICHAEL BOUVIER CPhT
2384 WHEELESS RD
AUGUSTA, GA 30906-5404
Phone number: 706-836-7547
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