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1083737860
JOHN DANA STANT
FORT DEFIANCE, AZ
NPI
1083737860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA rp028655l)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. JOHN DANA STANT R.Ph.
2162-1 RED ROCK CIRCLE
FORT DEFIANCE, AZ 86504-2084
Phone number: 928-729-5928
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Mailing Address
Mr. JOHN DANA STANT R.Ph.
PO BOX 2084 2162-1 RED ROCK CIRCLE
FORT DEFIANCE, AZ 86504-2084
Phone number: 928-729-5928
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