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1083944268
MICHAEL KELLAM
KINGMAN, AZ
NPI
1083944268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S016382)
Enumeration Date
2010-01-11
Last Update Date
2010-01-11
Business Address
-- MICHAEL KELLAM
3487 STOCKTON HILL RD
KINGMAN, AZ 86409-3681
Phone number: 928-692-1822
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Mailing Address
-- MICHAEL KELLAM
3487 STOCKTON HILL RD
KINGMAN, AZ 86409-3681
Phone number:
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