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1518303148
TERRY LADON FAULK
COLUMBUS, GA
NPI
1518303148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH 015602)
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
Mr. TERRY LADON FAULK RPH
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4362
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Mailing Address
Mr. TERRY LADON FAULK RPH
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4362
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