BURTON GEORGE LADE

BEMIDJI, MN
NPI1336471671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  112742)
Additional Taxonomies183500000X Pharmacist
(Licence: ND  3295)
Enumeration Date2010-02-11
Last Update Date2010-02-11
Business Address
-- BURTON GEORGE LADE R.Ph.
1401 PAUL BUNYAN DR NW
BEMIDJI, MN 56601-4155
Phone number: 218-751-8178
Mailing Address
-- BURTON GEORGE LADE R.Ph.
4086 GRYCE STYNE RD NE
BEMIDJI, MN 56601-9875
Phone number: 218-586-3445
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