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1548363005
KELLY SUE NORDSTROM
IRON MOUNTAIN, MI
NPI
1548363005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302027309)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Mrs. KELLY SUE NORDSTROM RPH
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 800-215-8262
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Mailing Address
Mrs. KELLY SUE NORDSTROM RPH
3078 HWY M35
BARK RIVER, MI 49807
Phone number: 906-786-3824
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