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1790856995
LARRY D. WAGENKNECHT
LANSING, MI
NPI
1790856995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302024102)
Enumeration Date
2006-11-11
Last Update Date
2007-07-08
Business Address
-- LARRY D. WAGENKNECHT R.Ph.
815 N WASHINGTON AVE
LANSING, MI 48906-5166
Phone number: 517-377-0226
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Mailing Address
-- LARRY D. WAGENKNECHT R.Ph.
6097 PARTRIDGE ST
HASLETT, MI 48840-8986
Phone number:
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