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1043430614
FAUSTINA NIYEMAMWEN EVBUOMWAN
FORT DEFIANCE, AZ
NPI
1043430614
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Former Name
FAUSTINA NIYEMAMWEN OYEGUN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ 14355)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Mrs. FAUSTINA NIYEMAMWEN EVBUOMWAN B.SC PHARM
PHARMACY DEPARTMENT, FDIH JUNCTION OF RT12 & RT 7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8328
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Mailing Address
Mrs. FAUSTINA NIYEMAMWEN EVBUOMWAN B.SC PHARM
PO BOX 1801
FORT DEFIANCE, AZ 86504-1801
Phone number: 928-729-2938
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