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1568840817
JARED ANDREW DEATON
TUBA CITY, AZ
NPI
1568840817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6844)
Additional Taxonomies
183500000X Pharmacist
(Licence: AK 2285)
Enumeration Date
2015-05-07
Last Update Date
2015-05-07
Business Address
Mr. JARED ANDREW DEATON Pharm.D.
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Mr. JARED ANDREW DEATON Pharm.D.
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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