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1780918342
SHAIN JESSUP DAMMON
LEWISTON, ID
NPI
1780918342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5849)
Enumeration Date
2009-09-29
Last Update Date
2020-05-06
Business Address
Mr. SHAIN JESSUP DAMMON Pharm D
1203 IDAHO ST
LEWISTON, ID 83501-1940
Phone number: 208-848-8290
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Mailing Address
Mr. SHAIN JESSUP DAMMON Pharm D
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 208-848-8290
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