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1306269105
MARK MANIG
GREEN RIVER, WY
NPI
1306269105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 2667)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- MARK MANIG RPH
2305 MARYLAND DR
GREEN RIVER, WY 82935-6163
Phone number: 307-760-7344
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Mailing Address
-- MARK MANIG RPH
2305 MARYLAND DR
GREEN RIVER, WY 82935-6163
Phone number:
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