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1104025253
RYAN MATHEW WATERBURY
IOWA CITY, IA
NPI
1104025253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 19532)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
-- RYAN MATHEW WATERBURY
1201 N DODGE ST
IOWA CITY, IA 52245-6105
Phone number: 319-337-6323
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Mailing Address
-- RYAN MATHEW WATERBURY
1201 N DODGE ST
IOWA CITY, IA 52245-6105
Phone number: 319-337-6323
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