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1104222488
MASTAN RAMPRASAD GANGISETTI
YAKIMA, WA
NPI
1104222488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60097582)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
Mr. MASTAN RAMPRASAD GANGISETTI Rph
1600 E CHESTNUT AVE
YAKIMA, WA 98901-2174
Phone number: 509-248-3855
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Mailing Address
Mr. MASTAN RAMPRASAD GANGISETTI Rph
1600 E CHESTNUT AVE
YAKIMA, WA 98901-2174
Phone number: 509-248-3855
Copy
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