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1669620001
BRUCE BROOKSBANK BURDESHAW
MARIETTA, GA
NPI
1669620001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 09359)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
Mr. BRUCE BROOKSBANK BURDESHAW Rph
731 WHITLOCK AVE SW
MARIETTA, GA 30064-3033
Phone number: 770-427-8155
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Mailing Address
Mr. BRUCE BROOKSBANK BURDESHAW Rph
731 WHITLOCK AVE SW
MARIETTA, GA 30064-3033
Phone number: 770-427-8155
Copy
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