JAKE MOSSMAN

TAOS, NM
NPI1891756185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  4584)
Enumeration Date2006-03-28
Last Update Date2007-07-08
Business Address
-- JAKE MOSSMAN RPh
622 PASEO DEL PUEBLO SUR 5401 NDCBU
TAOS, NM 87571-5101
Phone number: 505-758-3342
Mailing Address
-- JAKE MOSSMAN RPh
PO BOX 942
EL PRADO, NM 87529-0942
Phone number: 505-758-8336
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