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1881118917
TREVOR IVAN SHUMAKER
DOUGLAS, AZ
NPI
1881118917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S021633)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
TREVOR IVAN SHUMAKER
286 E 7TH ST
DOUGLAS, AZ 85607-2868
Phone number: 520-364-1358
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Mailing Address
TREVOR IVAN SHUMAKER
330 W BRANDING IRON DR
SAINT DAVID, AZ 85630-6148
Phone number: 520-240-1565
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