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1912045683
JERRY DAVIS
SEATTLE, WA
NPI
1912045683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00009894)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- JERRY DAVIS
310 15TH AVE E
SEATTLE, WA 98112-5103
Phone number: 206-326-2364
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Mailing Address
-- JERRY DAVIS
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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