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Individual

DR. BRIAN RANTALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 742-1400
Mailing address
703 MESNARD ST, MARQUETTE, MI 49855-5049
(312) 402-4255

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5902034465
MI

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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