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1689778094
GWENDOLYN WADE MARTIN
JASPER, AL
NPI
1689778094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 12447)
Enumeration Date
2006-09-08
Last Update Date
2007-07-08
Business Address
Mrs. GWENDOLYN WADE MARTIN Rph
2405 US HIGHWAY 78
JASPER, AL 35501
Phone number: 205-295-0068
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Mailing Address
Mrs. GWENDOLYN WADE MARTIN Rph
2303 LAKEWOOD CIR
JASPER, AL 35504-6788
Phone number: 205-295-0068
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