MAI ANH PHUNG

FORT BENNING, GA
NPI1275956047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH026889)
Enumeration Date2014-01-29
Last Update Date2014-02-12
Business Address
-- MAI ANH PHUNG
7950 MARTIN LOOP
FORT BENNING, GA 31905-5648
Phone number: 706-544-2041
Mailing Address
-- MAI ANH PHUNG
6503 YORK RD
MORROW, GA 30260-2431
Phone number:
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