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1477180727
JAMES BLAKE WISEMAN
BENTON, KY
NPI
1477180727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 016583)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
Dr. JAMES BLAKE WISEMAN PharmD.
34 US HIGHWAY 68 E UNIT A
BENTON, KY 42025-8336
Phone number: 270-703-2529
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Mailing Address
Dr. JAMES BLAKE WISEMAN PharmD.
PO BOX 766
BENTON, KY 42025-0766
Phone number:
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