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Individual

JEFFREY G. DETERDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
503 WALNUT ST, MURPHYSBORO, IL 62966-2203
(618) 565-2329
(618) 565-2430
Mailing address
503 WALNUT ST, MURPHYSBORO, IL 62966-2203
(618) 565-2329
(618) 565-2430

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033359
IL

Other

Enumeration date
08/17/2020
Last updated
08/17/2020
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