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1922308782
CRAIG BURGESS
FARMINGTON, NM
NPI
1922308782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NM 00007491)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
-- CRAIG BURGESS
2300 E 30TH ST
FARMINGTON, NM 87401-8990
Phone number: 505-327-4826
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Mailing Address
-- CRAIG BURGESS
2300 E 30TH ST
FARMINGTON, NM 87401-8990
Phone number:
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