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1083990345
DAVID MARK DIFAZIO
LIVONIA, MI
NPI
1083990345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302025677)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
-- DAVID MARK DIFAZIO Pharm.D.
33333 6 MILE RD
LIVONIA, MI 48152-3265
Phone number: 734-513-5078
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Mailing Address
-- DAVID MARK DIFAZIO Pharm.D.
33333 6 MILE RD
LIVONIA, MI 48152-3265
Phone number: 734-513-5078
Copy
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