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1134555907
SCOTT HENRY VAN KOOTEN
CASA GRANDE, AZ
NPI
1134555907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S020165)
Enumeration Date
2013-09-24
Last Update Date
2013-09-24
Business Address
-- SCOTT HENRY VAN KOOTEN RPh
2785 N PINAL AVE
CASA GRANDE, AZ 85122-7916
Phone number: 724-272-7253
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Mailing Address
-- SCOTT HENRY VAN KOOTEN RPh
700 E RODEO RD
CASA GRANDE, AZ 85122-6451
Phone number: 724-272-7253
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