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Individual

DR. DANNIEL LEE CLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D., R.PH.

Contact information

Practice address
801 E LASALLE AVE, SOUTH BEND, IN 46617-2814
(574) 237-7461
(574) 236-5005
Mailing address
834 NUTMEG CT, SOUTH BEND, IN 46614-6707
(574) 299-7285

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019644A
IN

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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