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1063978260
JORDAN RICHARD WANNER
CANTON, OH
NPI
1063978260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OH 03236378)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
Dr. JORDAN RICHARD WANNER PharmD
4615 MIDDLEBRANCH AVE NE
CANTON, OH 44705-2960
Phone number: 330-705-7107
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Mailing Address
Dr. JORDAN RICHARD WANNER PharmD
4615 MIDDLEBRANCH AVE NE
CANTON, OH 44705-2960
Phone number: 330-705-7107
Copy
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