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1053980839
THEODORE QM LY
SAN LUIS OBISPO, CA
NPI
1053980839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 84269)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
THEODORE QM LY
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-3306
Phone number: 805-545-0655
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Mailing Address
THEODORE QM LY
1633 W SOUTHGATE AVE
FULLERTON, CA 92833-3850
Phone number:
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