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1073980991
QUANG PHAN
DES MOINES, IA
NPI
1073980991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 22574)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- QUANG PHAN PharmD
101 2ND AVE APT 505
DES MOINES, IA 50309-4782
Phone number: 515-306-0808
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Mailing Address
-- QUANG PHAN PharmD
101 2ND AVE APT 505
DES MOINES, IA 50309-4782
Phone number: 515-306-0808
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