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1194057612
MYA SAN
ASTORIA, NY
NPI
1194057612
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Former Name
MYA SAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 053264-1)
Enumeration Date
2010-02-09
Last Update Date
2016-12-08
Business Address
Ms. MYA SAN
2858 STEINWAY ST
ASTORIA, NY 11103
Phone number: 718-278-1402
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Mailing Address
Ms. MYA SAN
15 PLYMOUTH ST
NEW HYDE PARK, NY 11040-3142
Phone number: 646-832-8009
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