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1912334152
RUSSELL ALAN THOM
YUMA, AZ
NPI
1912334152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 020184)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
Dr. RUSSELL ALAN THOM PharmD
2491 W 24TH ST
YUMA, AZ 85364-6153
Phone number: 928-341-0589
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Mailing Address
Dr. RUSSELL ALAN THOM PharmD
15728 S AVENUE 5 E
YUMA, AZ 85365-8012
Phone number: 520-664-5499
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