IKHLAS R PUTRUS

DEARBORN, MI
NPI1720180672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302025677)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
-- IKHLAS R PUTRUS
23100 CHERRY HILL ST
DEARBORN, MI 48124-1493
Phone number: 313-274-5990
Mailing Address
-- IKHLAS R PUTRUS
23100 CHERRY HILL ST
DEARBORN, MI 48124-1493
Phone number: 313-274-5990
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