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1043464407
DEAN W MICKELSON
LINCOLN CITY, OR
NPI
1043464407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 7878)
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
-- DEAN W MICKELSON RPh
4048 NE HIGHWAY 101
LINCOLN CITY, OR 97367-5069
Phone number: 541-994-5670
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Mailing Address
-- DEAN W MICKELSON RPh
4048 NE HIGHWAY 101
LINCOLN CITY, OR 97367-5069
Phone number: 541-994-5670
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