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1033489125
BRANT HERMAN
NOME, AK
NPI
1033489125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AK 1399)
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- BRANT HERMAN Rph
306 W 5TH AVE
NOME, AK 99762
Phone number: 907-443-3314
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Mailing Address
-- BRANT HERMAN Rph
609 STEADMAN ST B
NOME, AK 99762
Phone number: 907-443-3314
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