LISA MARIE DEBOLT

TRAVERSE CITY, MI
NPI1598826547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302027748)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- LISA MARIE DEBOLT RPh
324 S. UNION ST
TRAVERSE CITY, MI 49684
Phone number: 231-947-4212
Mailing Address
-- LISA MARIE DEBOLT RPh
1275 VALLEY DR
TRAVERSE CITY, MI 49684-8289
Phone number: 231-941-9435
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