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1285910901
TONY A SANDBURG
NAMPA, ID
NPI
1285910901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6286)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
TONY A SANDBURG PHARMD
700 12TH AVE S
NAMPA, ID 83651-4255
Phone number: 208-467-1560
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Mailing Address
TONY A SANDBURG PHARMD
700 12TH AVE S
NAMPA, ID 83651-4255
Phone number: 208-467-1560
Copy
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