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1467704601
RUSSELL PATRICK SEGRAVES
ATLANTA, GA
NPI
1467704601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: GA 019967)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- RUSSELL PATRICK SEGRAVES Pharm.D.
2175 PARKLAKE DR NE
ATLANTA, GA 30345-2845
Phone number: 706-363-2464
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Mailing Address
-- RUSSELL PATRICK SEGRAVES Pharm.D.
258 HUNTING HILLS DR
BRASELTON, GA 30517-5043
Phone number: 678-866-3306
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