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1114044039
DANITA L KETCHUM
ITHACA, NY
NPI
1114044039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 043353)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
-- DANITA L KETCHUM RPH
744 S MEADOW ST
ITHACA, NY 14850-5321
Phone number: 607-273-3231
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Mailing Address
-- DANITA L KETCHUM RPH
744 S MEADOW ST
ITHACA, NY 14850-5321
Phone number: 607-273-3231
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