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1093053969
DAVID MARK MATTIUZ
DECATUR, IL
NPI
1093053969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051293925)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
MR. DAVID MARK MATTIUZ PHARM.D.
1315 N WATER ST
DECATUR, IL 62526-4467
Phone number: 217-429-0958
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Mailing Address
MR. DAVID MARK MATTIUZ PHARM.D.
6505 CARLISLE BND
SPRINGFIELD, IL 62711-6795
Phone number: 217-697-8342
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