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Individual
DR. TED STEVEN HUMBURG
Active
Individual
DR. TED STEVEN HUMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19631
MD
183500000X
Pharmacist
PH100000886
DC
Other
Enumeration date
09/15/2010
Last updated
11/22/2010
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