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1760697510
IDELLA MARIE BRYANT
TUBA CITY, AZ
NPI
1760697510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 14773)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
DR. IDELLA MARIE BRYANT PHARMD
167 N MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2754
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Mailing Address
DR. IDELLA MARIE BRYANT PHARMD
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2754
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