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1114682739
ALEXIS VIANCA TAN TAN
LOS ANGELES, CA
NPI
1114682739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 85401)
Enumeration Date
2021-11-08
Last Update Date
2021-12-12
Business Address
ALEXIS VIANCA TAN TAN RPh
2530 GLENDALE BLVD
LOS ANGELES, CA 90039-3220
Phone number: 323-666-1285
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Mailing Address
ALEXIS VIANCA TAN TAN RPh
2530 GLENDALE BLVD
LOS ANGELES, CA 90039-3220
Phone number: 323-666-1285
Copy
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