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1548455611
MIA TA
TEMPLE, TX
NPI
1548455611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 51292067)
Enumeration Date
2007-09-11
Last Update Date
2007-09-13
Business Address
-- MIA TA Pharm.D.
404 S FRYERS CREEK CIR
TEMPLE, TX 76504-7825
Phone number: 773-450-1471
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Mailing Address
-- MIA TA Pharm.D.
404 S FRYERS CREEK CIR
TEMPLE, TX 76504-7825
Phone number: 773-450-1471
Copy
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