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1073008942
NIMMY SUSAN NINAN
VACAVILLE, CA
NPI
1073008942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 78141)
Enumeration Date
2018-06-24
Last Update Date
2018-06-24
Business Address
NIMMY SUSAN NINAN
941 ALAMO DR
VACAVILLE, CA 95687-5601
Phone number: 408-784-4014
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Mailing Address
NIMMY SUSAN NINAN
2550 HILBORN RD APT 50
FAIRFIELD, CA 94534-1085
Phone number:
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