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1174804074
BRIAN LEE KAMHOLZ
ROCKFORD, IL
NPI
1174804074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-037671)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
Mr. BRIAN LEE KAMHOLZ Rph
3803 AUBURN ST
ROCKFORD, IL 61101-2501
Phone number: 815-963-3710
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Mailing Address
Mr. BRIAN LEE KAMHOLZ Rph
3803 AUBURN ST
ROCKFORD, IL 61101-2501
Phone number: 815-963-3710
Copy
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