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1255325965
KENNETH WESLEY JASCOMB
ATLANTA, GA
NPI
1255325965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPh014048)
Enumeration Date
2005-09-08
Last Update Date
2007-07-08
Business Address
Mr. KENNETH WESLEY JASCOMB RPh
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-6265
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Mailing Address
Mr. KENNETH WESLEY JASCOMB RPh
1677 BAYWOOD CT
LAWRENCEVILLE, GA 30043-6932
Phone number:
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