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1881908416
BRIAN J WAMBOLD
PHOENIX, AZ
NPI
1881908416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 13902)
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
Dr. BRIAN J WAMBOLD PharmD
4747 E ELLIOT RD
PHOENIX, AZ 85044-1627
Phone number: 480-496-0019
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Mailing Address
Dr. BRIAN J WAMBOLD PharmD
4747 E ELLIOT RD
PHOENIX, AZ 85044-1627
Phone number: 480-496-0019
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