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1588914360
SUSHAMA DAYAL TATA
KERNERSVILLE, NC
NPI
1588914360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 22226)
Enumeration Date
2012-09-19
Last Update Date
2014-09-15
Business Address
MRS. SUSHAMA DAYAL TATA
1105 S MAIN ST 03832
KERNERSVILLE, NC 27284-7478
Phone number: 512-821-9321
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Mailing Address
MRS. SUSHAMA DAYAL TATA
1105 S MAIN ST 03832
KERNERSVILLE, NC 27284-7478
Phone number: 512-821-9321
Copy
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