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1902181605
MATTHEW A HUNTMAN
FENTON, MO
NPI
1902181605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2000169294)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
Mr. MATTHEW A HUNTMAN
1001 BOWLES AVE
FENTON, MO 63026-2338
Phone number: 636-343-0754
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Mailing Address
Mr. MATTHEW A HUNTMAN
1001 BOWLES AVE
FENTON, MO 63026-2338
Phone number: 636-343-0754
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