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Individual

DR. BRETT ETHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
21632 N 35TH AVE, GLENDALE, AZ 85308-2061
(623) 582-9566
Mailing address
21632 N 35TH AVE, GLENDALE, AZ 85308-2061

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023040
AZ

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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