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Individual

JASON LEE WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5683
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5683

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038646
MI

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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