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1790881753
TERA SHAWN KINZEL
TRAVERSE CITY, MI
NPI
1790881753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302032565)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Mrs. TERA SHAWN KINZEL RPh
1217 E FRONT ST
TRAVERSE CITY, MI 49686-2928
Phone number: 231-947-9825
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Mailing Address
Mrs. TERA SHAWN KINZEL RPh
9873 TERRA W
TRAVERSE CITY, MI 49684-9637
Phone number: 231-922-2672
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