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1942807664
CLIFFORD CHARLES
FORT DEFIANCE, AZ
NPI
1942807664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS58414)
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
CLIFFORD CHARLES PHARMD
CORNERS OF ROUTE 7&12
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8328
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Mailing Address
CLIFFORD CHARLES PHARMD
PO BOX 1345
FORT DEFIANCE, AZ 86504-1345
Phone number:
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