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1639379589
BRIAN C MANN
MADISON, WI
NPI
1639379589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051291410)
Enumeration Date
2007-07-19
Last Update Date
2009-07-08
Business Address
-- BRIAN C MANN Pharm D
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-256-1901
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Mailing Address
-- BRIAN C MANN Pharm D
11582 E GOSHEN MEADOWS RD
MOUNT VERNON, IL 62864-9393
Phone number: 618-694-5215
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