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1104291095
DALE DANIEL ERNSTHAUSEN
LANSING, MI
NPI
1104291095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302034337)
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
Mr. DALE DANIEL ERNSTHAUSEN Rph
409 N MARKETPLACE BLVD
LANSING, MI 48917-7732
Phone number: 517-622-1451
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Mailing Address
Mr. DALE DANIEL ERNSTHAUSEN Rph
12720 MAHOGANY WAY
DEWITT, MI 48820-7879
Phone number: 517-944-5614
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