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1861573917
EDGAR ROGERS JETER
PHOENIX, AZ
NPI
1861573917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 11825)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. EDGAR ROGERS JETER RPh
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
Mr. EDGAR ROGERS JETER RPh
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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