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1902982853
TIMOTHY DALE STULTZ
IOWA CITY, IA
NPI
1902982853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 18260)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY DALE STULTZ bs
601 HIGHWAY 6 W
IOWA CITY, IA 52246-2292
Phone number: 319-338-0581
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Mailing Address
Mr. TIMOTHY DALE STULTZ bs
1824 UNDERWOOD AVENUE
AINSWORTH, IA 52201
Phone number: 319-530-6309
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