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1508200155
WILSON C. LANE
EAU CLAIRE, WI
NPI
1508200155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 11829-40)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Mr. WILSON C. LANE RPh
955 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6103
Phone number: 715-832-8336
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Mailing Address
Mr. WILSON C. LANE RPh
1910 TRIMBLE TRL
MENOMONIE, WI 54751-1466
Phone number: 715-309-2340
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