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Individual

MR. LON NICHOLAS KEYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 665-2141
(260) 665-7888
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 665-2141
(260) 665-7888

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016064A
IN

Other

Enumeration date
08/22/2005
Last updated
07/10/2007
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