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1699022962
THOMAS JOSEPH STATZ
NAMPA, ID
NPI
1699022962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P4647)
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
-- THOMAS JOSEPH STATZ
2100 CALDWELL BLVD
NAMPA, ID 83651-1510
Phone number: 208-466-9616
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Mailing Address
-- THOMAS JOSEPH STATZ
2100 CALDWELL BLVD
NAMPA, ID 83651-1510
Phone number: 208-466-9616
Copy
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