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1083672810
DOUGLAS GENE PETTY
KIRKSVILLE, MO
NPI
1083672810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 043669)
Enumeration Date
2006-05-02
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS GENE PETTY RPh
500 N BALTIMORE ST
KIRKSVILLE, MO 63501-3214
Phone number: 660-665-7400
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Mailing Address
Mr. DOUGLAS GENE PETTY RPh
1410 E MEADOW LN
KIRKSVILLE, MO 63501-2654
Phone number: 660-627-0718
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