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1710260062
YISA BRAY
LAWRENCEVILLE, GA
NPI
1710260062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH026163)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
-- YISA BRAY PharmD
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044-5872
Phone number: 770-978-6475
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Mailing Address
-- YISA BRAY PharmD
3450 EVANS RD 125C
ATLANTA, GA 30341-5861
Phone number: 404-663-8431
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