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Individual
DR. CHRISTIAN JAY KETTERING
Active
Individual
DR. CHRISTIAN JAY KETTERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9366671
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9366671
REGISTERED PHARMACIST
UT
Enumeration date
04/06/2020
Last updated
04/06/2020
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