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1487955613
GLENN EIJI NAMURA
BULLHEAD CITY, AZ
NPI
1487955613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 14740)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
Mr. GLENN EIJI NAMURA
1751 HIGHWAY 95
BULLHEAD CITY, AZ 86442-6902
Phone number: 928-763-1888
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Mailing Address
Mr. GLENN EIJI NAMURA
3743 WESTCLIFF
LAUGHLIN, NV 89028
Phone number: 702-299-9393
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