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1861869604
KETAN PRAVINBHAI PATEL
MARIETTA, GA
NPI
1861869604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH028799)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business Address
-- KETAN PRAVINBHAI PATEL Pharm.D.
1401 JOHNSON FERRY RD
MARIETTA, GA 30062-6495
Phone number: 770-240-0006
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Mailing Address
-- KETAN PRAVINBHAI PATEL Pharm.D.
121 SETTLERS POINT DR
GUYTON, GA 31312-6596
Phone number: 843-415-2032
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