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1104104215
JAIMIE LYNN JOHANNECK
AUSTIN, TX
NPI
1104104215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 50202)
Enumeration Date
2011-07-25
Last Update Date
2011-07-25
Business Address
-- JAIMIE LYNN JOHANNECK
2501 S LAMAR BLVD
AUSTIN, TX 78704-4730
Phone number: 512-443-7534
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Mailing Address
-- JAIMIE LYNN JOHANNECK
2501 S LAMAR BLVD
AUSTIN, TX 78704-4730
Phone number: 512-443-7534
Copy
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