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1184994055
DAYNE VIVAR
WEST SACRAMENTO, CA
NPI
1184994055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 66189)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- DAYNE VIVAR
2005 TOWN CENTER PLZ T2268
WEST SACRAMENTO, CA 95691-4957
Phone number: 916-384-0978
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Mailing Address
-- DAYNE VIVAR
2005 TOWN CENTER PLZ T2268
WEST SACRAMENTO, CA 95691-4957
Phone number:
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