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1639587512
DAVID THOMAS PETLEY
COOS BAY, OR
NPI
1639587512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0014155)
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
Dr. DAVID THOMAS PETLEY Pharm D
2051 NEWMARK AVE
COOS BAY, OR 97420-4728
Phone number: 541-888-5750
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Mailing Address
Dr. DAVID THOMAS PETLEY Pharm D
2051 NEWMARK AVE
COOS BAY, OR 97420-4728
Phone number: 541-888-5750
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