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1851607105
JORDAN BRADLEY DAVIS
SAVANNAH, GA
NPI
1851607105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 024773)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
JORDAN BRADLEY DAVIS
1955 E MONTGOMERY XRD
SAVANNAH, GA 31406-5036
Phone number: 912-351-0743
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Mailing Address
JORDAN BRADLEY DAVIS
409 TATTNALL ST
SAVANNAH, GA 31401-4213
Phone number:
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