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1821367566
THOMAS DIESTLER
WAUKESHA, WI
NPI
1821367566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9499)
Enumeration Date
2011-12-27
Last Update Date
2011-12-27
Business Address
-- THOMAS DIESTLER Rph
221 E SUNSET DR
WAUKESHA, WI 53189-7603
Phone number: 262-542-3981
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Mailing Address
-- THOMAS DIESTLER Rph
221 E SUNSET DR
WAUKESHA, WI 53189-7603
Phone number: 262-542-3981
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