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1134551732
MICHAEL FONCANNON
FORT MORGAN, CO
NPI
1134551732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 19939)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- MICHAEL FONCANNON PharmD, RPh
620 W PLATTE AVE
FORT MORGAN, CO 80701-2652
Phone number: 970-867-3027
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Mailing Address
-- MICHAEL FONCANNON PharmD, RPh
620 W PLATTE AVE
FORT MORGAN, CO 80701-2652
Phone number: 970-867-3027
Copy
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