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1215095054
LAWRENCE MARVIN HAVEMAN
GAINESVILLE, FL
NPI
1215095054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302020704)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Mr. LAWRENCE MARVIN HAVEMAN RPh
MALCOM RANDALL VA MEDICAL CENTER 1601 SW ARCHER RD.
GAINESVILLE, FL 32608
Phone number: 352-376-1611
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Mailing Address
Mr. LAWRENCE MARVIN HAVEMAN RPh
8289 ROCKLEDGE WAY SW
BYRON CENTER, MI 49315-8476
Phone number: 616-878-6088
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