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1194318303
LACEY MONGRUE
AUGUSTA, GA
NPI
1194318303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH027259)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
DR. LACEY MONGRUE
3527 RIVER WATCH PKWY
AUGUSTA, GA 30907-2919
Phone number: 706-210-0091
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Mailing Address
DR. LACEY MONGRUE
3527 RIVER WATCH PKWY
AUGUSTA, GA 30907-2919
Phone number: 706-210-0091
Copy
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