Mark Dezeeuw

NPI #1881908176 in Duncanville, Texas

Provider Information

NPI Number: 1881908176
Entity Type: Individual
Name: Mark Dezeeuw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 29, 2010
Last Updated: Jul 29, 2010

Practice Location

Address: 633 W WHEATLAND RD
City: Duncanville
State: Texas
ZIP Code: 75116-4517
Phone: (972) 780-1153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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