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1053684183
DANIEL LOUIS DESTITO
EVERETT, WA
NPI
1053684183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH 00013616)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- DANIEL LOUIS DESTITO RPh
12906 BOTHELL EVERETT HWY
EVERETT, WA 98208-6687
Phone number: 425-357-2033
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Mailing Address
-- DANIEL LOUIS DESTITO RPh
12906 BOTHELL EVERETT HWY
EVERETT, WA 98208-6687
Phone number: 425-357-2033
Copy
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