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1124122544
SUSAN ELIZABETH BALKUM
IRON MOUNTAIN, MI
NPI
1124122544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302411065)
Enumeration Date
2006-09-08
Last Update Date
2007-07-08
Business Address
-- SUSAN ELIZABETH BALKUM RPh
VAMC PHARMACY 325 EAST H ST
IRON MOUNTAIN, MI 49801
Phone number: 906-774-3300
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Mailing Address
-- SUSAN ELIZABETH BALKUM RPh
1507 S GRANT ST
IRON MOUNTAIN, MI 49801-2119
Phone number: 906-774-6115
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