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1003210428
CHANNARONG JARUVANGSANTI
PHOENIX, AZ
NPI
1003210428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s010041)
Enumeration Date
2014-10-14
Last Update Date
2014-10-14
Business Address
-- CHANNARONG JARUVANGSANTI Pharm D.
408 W AIRE LIBRE AVE
PHOENIX, AZ 85023-7923
Phone number: 602-481-3328
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Mailing Address
-- CHANNARONG JARUVANGSANTI Pharm D.
408 W AIRE LIBRE AVE
PHOENIX, AZ 85023-7923
Phone number:
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