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Individual

DR. MICHAEL PAUL MAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
650 E INDIAN SCHOOL RD, #119, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, #119, PHOENIX, AZ 85012-1892
(602) 277-5551

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64117
CA

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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