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1043510449
JUSTIN JOHN LUM
TACOMA, WA
NPI
1043510449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00059634)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
-- JUSTIN JOHN LUM
707 S 56TH ST
TACOMA, WA 98408-5617
Phone number: 253-471-1730
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Mailing Address
-- JUSTIN JOHN LUM
707 S 56TH ST
TACOMA, WA 98408-5617
Phone number: 253-471-1730
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