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Individual

MR. JEFFREY STEPHEN JANDORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5709 GINSENG WAY, PRESCOTT, AZ 86305-3878
(928) 771-2784
(928) 771-2784
Mailing address
5709 GINSENG WAY, PRESCOTT, AZ 86305-3878
(928) 771-2784
(928) 771-2784

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9297
AZ
183500000X
Pharmacist
PH00011083
WA
183500000X
Pharmacist
IL

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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