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1164705497
TYSON C SPENCER
POCATELLO, ID
NPI
1164705497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID p6120)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
Dr. TYSON C SPENCER Pharm D
305 W QUINN RD
POCATELLO, ID 83201-4988
Phone number: 208-238-4049
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Mailing Address
Dr. TYSON C SPENCER Pharm D
305 W QUINN RD
POCATELLO, ID 83201-4988
Phone number: 208-238-4049
Copy
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