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1841001559
LONNIE FORREST BAMBAS
FORT MOORE, GA
NPI
1841001559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 15379)
Enumeration Date
2025-01-14
Last Update Date
2025-01-14
Business Address
Dr. LONNIE FORREST BAMBAS
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-2180
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Mailing Address
Dr. LONNIE FORREST BAMBAS
3016 MCKINLEY DR
OPELIKA, AL 36804-7740
Phone number: 334-444-6364
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