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1316002074
JULIAN SOUTHERLAND
KINGMAN, AZ
NPI
1316002074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 10406)
Enumeration Date
2006-12-23
Last Update Date
2007-07-08
Business Address
-- JULIAN SOUTHERLAND RPh
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-0618
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Mailing Address
-- JULIAN SOUTHERLAND RPh
996 E STORM CLOUD DR
KINGMAN, AZ 86409-1103
Phone number: 928-757-9734
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