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1013524453
CHANDALY SOVAN
SOUTH BEND, IN
NPI
1013524453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26028352A)
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
Dr. CHANDALY SOVAN Pharm.D.
1400 E IRELAND RD
SOUTH BEND, IN 46614-3452
Phone number: 574-231-8258
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Mailing Address
Dr. CHANDALY SOVAN Pharm.D.
1400 E IRELAND RD
SOUTH BEND, IN 46614-3452
Phone number:
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