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1629324462
KELLI KRISTINE SHAW
COLUMBUS, GA
NPI
1629324462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KS 1-15190)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- KELLI KRISTINE SHAW PharmD
710 CENTER ST DEPARTMENT OF PHARMACY
COLUMBUS, GA 31901-1527
Phone number: 706-571-1000
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Mailing Address
-- KELLI KRISTINE SHAW PharmD
7461 BLACKMON RD APT. #5108
COLUMBUS, GA 31909-8400
Phone number: 785-826-7851
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