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1104199876
CHAMNAN ING
BEAVERTON, OR
NPI
1104199876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR rph-0010478)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
-- CHAMNAN ING
4750 SW WESTERN AVE
BEAVERTON, OR 97005-3431
Phone number: 503-626-4710
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Mailing Address
-- CHAMNAN ING
4750 SW WESTERN AVE
BEAVERTON, OR 97005-3431
Phone number: 503-626-4710
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