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1972830305
JASON BODNER
DALLAS, TX
NPI
1972830305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 34943)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
JASON BODNER
438 W ILLINOIS AVE
DALLAS, TX 75224-2204
Phone number: 214-941-1197
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Mailing Address
JASON BODNER
438 W ILLINOIS AVE
DALLAS, TX 75224-2204
Phone number: 214-941-1197
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