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1568681385
BETHANY LUANNE HISSONG
CADILLAC, MI
NPI
1568681385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302025540)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- BETHANY LUANNE HISSONG
720 S MITCHELL ST
CADILLAC, MI 49601-2512
Phone number: 231-775-3243
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Mailing Address
-- BETHANY LUANNE HISSONG
1358 N US HIGHWAY 131
MANTON, MI 49663-9182
Phone number: 231-824-9020
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