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Individual
MR. WAYNE P. CONTI
Active
Individual
MR. WAYNE P. CONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302021515
PHARMACIST LICENSE NUMBE
MI
Enumeration date
10/13/2006
Last updated
07/08/2007
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