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1457636482
STEPHEN GARY MOSS
REXBURG, ID
NPI
1457636482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5595)
Enumeration Date
2011-10-21
Last Update Date
2011-10-21
Business Address
STEPHEN GARY MOSS PHARM.D.
124 W MAIN ST
REXBURG, ID 83440-1827
Phone number: 208-356-5416
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Mailing Address
STEPHEN GARY MOSS PHARM.D.
124 W MAIN ST
REXBURG, ID 83440-1827
Phone number: 208-356-5416
Copy
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