KENNETH L WILSON

LOGANVILLE, GA
NPI1972886067
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  10952)
Enumeration Date2011-09-24
Last Update Date2011-09-24
Business Address
-- KENNETH L WILSON
4398 ATLANTA HWY
LOGANVILLE, GA 30052-7314
Phone number: 678-639-0129
Mailing Address
-- KENNETH L WILSON
4398 ATLANTA HWY
LOGANVILLE, GA 30052-7314
Phone number: 678-639-0129
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