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Kaitlan Mansour
NPI 1720683519 · on the registry since 2020
Practice
- Address
- 5220 Jimmy Lee Smith Pkwy Ste 118
Hiram, GA 30141 - Phone
- (770) 222-1421
- Organisation at this address
- Georgia Cvs Pharmacy Llc
Luxottica Retail North America IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia