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1770187007
GEORGE ROSS MATTESON
GRANITE CITY, IL
NPI
1770187007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051299744)
Enumeration Date
2020-11-27
Last Update Date
2020-11-27
Business Address
Dr. GEORGE ROSS MATTESON PharmD
3319 NAMEOKI RD
GRANITE CITY, IL 62040-3708
Phone number: 217-218-1016
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Mailing Address
Dr. GEORGE ROSS MATTESON PharmD
1014 TROY RD
EDWARDSVILLE, IL 62025-2360
Phone number: 217-218-1016
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