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1679947501
ALAN ITZEN
KAYENTA, AZ
NPI
1679947501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: VI 370)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
ALAN ITZEN RPH
KA-2010 HWY-163
KAYENTA, AZ 86033-0368
Phone number: 928-697-4165
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Mailing Address
ALAN ITZEN RPH
KA-2010 HWY-163
KAYENTA, AZ 86033
Phone number: 928-697-4305
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