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1083885354
ETHAN VAN TRUONG
SAN DIEGO, CA
NPI
1083885354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA rph57434)
Enumeration Date
2008-03-14
Last Update Date
2008-03-14
Business Address
Mr. ETHAN VAN TRUONG pharm.d
3250 FORDHAM ST
SAN DIEGO, CA 92110-5339
Phone number: 858-221-6275
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Mailing Address
Mr. ETHAN VAN TRUONG pharm.d
3130 GREYLING DR
SAN DIEGO, CA 92123-2940
Phone number: 619-221-6275
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