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1134498538
CLARENCE G ROUSSETT
SAN ANTONIO, TX
NPI
1134498538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 15401)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
Mr. CLARENCE G ROUSSETT RPH
2710 NOGALITOS
SAN ANTONIO, TX 78225-1750
Phone number: 210-533-7773
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Mailing Address
Mr. CLARENCE G ROUSSETT RPH
2710 NOGALITOS
SAN ANTONIO, TX 78225-1750
Phone number: 210-533-7773
Copy
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