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1316954472
JASON I ROLLA
CHRISTOPHER, IL
NPI
1316954472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: IL 049166574)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- JASON I ROLLA Pharmacy Tech
4241 HWY 14 WEST REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2136
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Mailing Address
-- JASON I ROLLA Pharmacy Tech
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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