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1184262859
IVAN KOSTRIKIN
FRESNO, CA
NPI
1184262859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 81260)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
IVAN KOSTRIKIN
5180 E KINGS CANYON RD
FRESNO, CA 93727-3971
Phone number: 559-255-9009
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Mailing Address
IVAN KOSTRIKIN
5180 E KINGS CANYON RD
FRESNO, CA 93727-3971
Phone number:
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