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1063851020
MATTHEW JOHN FERNHOLZ
LA CROSSE, WI
NPI
1063851020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 12167-40)
Enumeration Date
2013-06-22
Last Update Date
2013-06-22
Business Address
Mr. MATTHEW JOHN FERNHOLZ rph
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-188-8860
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Mailing Address
Mr. MATTHEW JOHN FERNHOLZ rph
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-188-8860
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