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Individual

MICHAEL W STALLBOHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3 AIRPORT RD, WEST LEBANON, NH 03784-1657
(603) 298-5796
Mailing address
276 CHOATE RD, ENFIELD, NH 03748-3404
(603) 632-7026

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3249
NH

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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