Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Feb 25, 2013
License(s)
52430 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14363 EDGEMERE BLVD APT 1802 | El Paso, TX 79938-5155 | 330-447-4145 |
| LOCATION | 9428 DYER ST | El Paso, TX 79924-6408 | 915-751-4415 |
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