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1114054939
WILLIE OWEN LATCH
AUGUSTA, GA
NPI
1114054939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RHP012024)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. WILLIE OWEN LATCH R.Ph
4315 BELAIR FRONTAGE RD
AUGUSTA, GA 30909-9412
Phone number: 706-854-7640
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Mailing Address
Mr. WILLIE OWEN LATCH R.Ph
1203 RIVER RIDGE DR
AUGUSTA, GA 30909-2215
Phone number: 706-733-6502
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