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1134758899
JORDAN ANTHONY TABISH
SAN DIEGO, CA
NPI
1134758899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH82922)
Enumeration Date
2020-04-05
Last Update Date
2022-12-15
Business Address
JORDAN ANTHONY TABISH PharmD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 509-939-1512
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Mailing Address
JORDAN ANTHONY TABISH PharmD
1354 ALOHA ST
SEATTLE, WA 98109-4404
Phone number: 206-606-6788
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