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1457643058
THIRUPATHI REDDY DONTAM
ROSEBURG, OR
NPI
1457643058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-00124441)
Enumeration Date
2011-05-15
Last Update Date
2011-05-15
Business Address
Mr. THIRUPATHI REDDY DONTAM
161 NE RIFLE RANGE ST APT#58
ROSEBURG, OR 97470-5914
Phone number: 541-672-4896
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Mailing Address
Mr. THIRUPATHI REDDY DONTAM
161 NE RIFLE RANGE ST APT#58
ROSEBURG, OR 97470-5914
Phone number: 541-672-4896
Copy
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