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1659129112
JORDAN NICOLE BRAZEEL
SPOKANE, WA
NPI
1659129112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MT PHA-PHA-LIC-98438)
Enumeration Date
2024-05-09
Last Update Date
2024-07-09
Business Address
JORDAN NICOLE BRAZEEL
624 E FRONT AVE
SPOKANE, WA 99202-2139
Phone number: 509-626-9924
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Mailing Address
JORDAN NICOLE BRAZEEL
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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