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1508257288
JASON WETTENGEL
GREEN BAY, WI
NPI
1508257288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 17697-40)
Enumeration Date
2015-02-16
Last Update Date
2017-04-30
Business Address
Mr. JASON WETTENGEL Pharm.D.
2015 SHAWANO AVE
GREEN BAY, WI 54303-2606
Phone number: 920-496-8110
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Mailing Address
Mr. JASON WETTENGEL Pharm.D.
2015 SHAWANO AVE
GREEN BAY, WI 54303-2606
Phone number: 920-496-8110
Copy
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