GERVASIS MANUEL

SOUTH BEND, IN
NPI1235262395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302035864)
Enumeration Date2007-03-14
Last Update Date2011-01-26
Business Address
Mr. GERVASIS MANUEL Pharm.D
2845 W CLEVELAND RD
SOUTH BEND, IN 46628-6188
Phone number: 574-277-1538
Mailing Address
Mr. GERVASIS MANUEL Pharm.D
1460 SIOUX TRL
NILES, MI 49120-3136
Phone number: 269-682-0404
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