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Individual

MASON ALLEN ANTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
602 W BROAD ST, LINDEN, MI 48451-8658
(810) 735-1341
(810) 735-4191
Mailing address
602 W BROAD ST, LINDEN, MI 48451-8658
(810) 735-1341
(810) 735-4191

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303037372
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5303037372
PHARMACY TECHNICIAN LICENSE NUMBER
MI
Enumeration date
06/29/2021
Last updated
06/29/2021
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