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1962771642
DAVID JOHN LIGHT
WAITE PARK, MN
NPI
1962771642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 112825)
Enumeration Date
2011-12-24
Last Update Date
2011-12-24
Business Address
Mr. DAVID JOHN LIGHT RPH
17 DIVISION ST
WAITE PARK, MN 56387-1349
Phone number: 320-203-1035
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Mailing Address
Mr. DAVID JOHN LIGHT RPH
6483 36TH AVE SE
SAINT CLOUD, MN 56304-9409
Phone number: 320-656-5830
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