KENNETH WESLEY JASCOMB

ATLANTA, GA
NPI1255325965
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH014048)
Enumeration Date2005-09-08
Last Update Date2007-07-08
Business Address
MR. KENNETH WESLEY JASCOMB RPH
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-6265
Mailing Address
MR. KENNETH WESLEY JASCOMB RPH
1677 BAYWOOD CT
LAWRENCEVILLE, GA 30043-6932
Phone number:
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