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1780296509
JORDAN LEE ERICKSON
MOUNT VERNON, WA
NPI
1780296509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH61066697)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
JORDAN LEE ERICKSON Pharmacist
2109 E BROADWAY
MOUNT VERNON, WA 98274-4628
Phone number: 360-395-8682
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Mailing Address
JORDAN LEE ERICKSON Pharmacist
2109 E BROADWAY
MOUNT VERNON, WA 98274-4628
Phone number: 360-395-8682
Copy
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