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Individual

MR. DARRYL GERAND WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
8522 N 30TH DR, PHOENIX, AZ 85051-3904
(623) 879-2925
Mailing address
8522 N 30TH DRIVE, PHOENIX, AZ 85051
(623) 879-2925

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
05/28/2009
Last updated
07/29/2011
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