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1750617395
DOUGLAS LEE FETTKE
DALLAS, TX
NPI
1750617395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 38123)
Enumeration Date
2009-11-01
Last Update Date
2009-11-01
Business Address
Mr. DOUGLAS LEE FETTKE
9937 GARLAND RD
DALLAS, TX 75218-3259
Phone number: 214-328-4971
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Mailing Address
Mr. DOUGLAS LEE FETTKE
9937 GARLAND RD
DALLAS, TX 75218-3259
Phone number: 214-328-4971
Copy
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