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1891001947
JASON FUNDERBURK
TEMPE, AZ
NPI
1891001947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S017925)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
JASON FUNDERBURK PHARMD
6404 S MCCLINTOCK DR
TEMPE, AZ 85283-3942
Phone number: 480-838-9200
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Mailing Address
JASON FUNDERBURK PHARMD
4630 S LAKESHORE DR APT. 190
TEMPE, AZ 85282-7164
Phone number: 215-292-2373
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