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1346682952
WASHDEV S MATA
CANTON, MI
NPI
1346682952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302026382)
Enumeration Date
2013-07-24
Last Update Date
2014-10-16
Business Address
Mr. WASHDEV S MATA RPh
6624 N CANTON CENTER RD
CANTON, MI 48187-1651
Phone number: 734-335-6312
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Mailing Address
Mr. WASHDEV S MATA RPh
PO BOX 871249
CANTON, MI 48187-6249
Phone number: 734-274-1583
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