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1063799781
VIDA V VONGVANITH
FRESNO, CA
NPI
1063799781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 66544)
Enumeration Date
2011-11-09
Last Update Date
2012-01-19
Business Address
Dr. VIDA V VONGVANITH Pharm.D.
7300 N FRESNO ST
FRESNO, CA 93720-2941
Phone number: 559-448-3703
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Mailing Address
Dr. VIDA V VONGVANITH Pharm.D.
7300 N FRESNO ST
FRESNO, CA 93720-2941
Phone number: 559-448-3703
Copy
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