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1093092520
MAMTA SHAH
MIRA LOMA, CA
NPI
1093092520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 57777)
Enumeration Date
2011-11-11
Last Update Date
2011-11-11
Business Address
MAMTA SHAH
12471 LIMONITE AVE T1961
MIRA LOMA, CA 91752-2457
Phone number: 951-256-5262
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Mailing Address
MAMTA SHAH
12471 LIMONITE AVE T1961
MIRA LOMA, CA 91752-2457
Phone number:
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