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1134595408
JONATHON FENNER
SURPRISE, AZ
NPI
1134595408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S021305)
Enumeration Date
2015-08-20
Last Update Date
2015-08-20
Business Address
Dr. JONATHON FENNER PharmD
13828 W WADDELL RD
SURPRISE, AZ 85379-3802
Phone number: 623-476-1811
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Mailing Address
Dr. JONATHON FENNER PharmD
3745 W CAROL ANN WAY
PHOENIX, AZ 85053-3740
Phone number:
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