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1346844198
JACOB BOWERSOCK
MICHIGAN CITY, IN
NPI
1346844198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26024687A)
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
JACOB BOWERSOCK
901 N KARWICK RD
MICHIGAN CITY, IN 46360-2191
Phone number: 219-872-6811
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Mailing Address
JACOB BOWERSOCK
2117 KELLE DR APT 104
CHESTERTON, IN 46304-8986
Phone number: 419-204-9672
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