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1164299145
JERRY LEE STANKEWITZ
OZARK, MO
NPI
1164299145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: MO 2006021565)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
JERRY LEE STANKEWITZ
1675 W SOUTH ST
OZARK, MO 65721-5152
Phone number: 417-631-7138
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Mailing Address
JERRY LEE STANKEWITZ
621 W BOBWHITE LN
NIXA, MO 65714-7979
Phone number: 417-631-7138
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