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1174749402
DIWATA M PEREZ
SURPRISE, AZ
NPI
1174749402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NV 15915)
Enumeration Date
2007-04-17
Last Update Date
2018-05-16
Business Address
Mrs. DIWATA M PEREZ bs phar
15170 W BELL RD STE 100
SURPRISE, AZ 85374
Phone number: 702-339-2183
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Mailing Address
Mrs. DIWATA M PEREZ bs phar
10603 W EL CORTEZ PL
PEORIA, AZ 85383-9677
Phone number: 702-339-2183
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