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1831485622
ALISA BOYETTE ORTMAN
WINSTON SALEM, NC
NPI
1831485622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 7525)
Enumeration Date
2011-06-21
Last Update Date
2011-06-21
Business Address
MRS. ALISA BOYETTE ORTMAN RPH
2221 CLOVERDALE AVE
WINSTON SALEM, NC 27103-2301
Phone number: 336-724-7491
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Mailing Address
MRS. ALISA BOYETTE ORTMAN RPH
609 VALLEY BROOK LN
WINSTON SALEM, NC 27104-2732
Phone number: 336-765-0831
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