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1144930843
KETFA INTHATHIRATH
PHOENIX, AZ
NPI
1144930843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S026228)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
KETFA INTHATHIRATH
28635 N NORTH VALLEY PKWY
PHOENIX, AZ 85085-5434
Phone number: 623-582-9207
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Mailing Address
KETFA INTHATHIRATH
24250 N 23RD AVE UNIT 3188
PHOENIX, AZ 85085-1990
Phone number:
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