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1205248762
JASON SHAN
RIVERSIDE, CA
NPI
1205248762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 69346)
Enumeration Date
2014-06-02
Last Update Date
2014-06-02
Business Address
-- JASON SHAN
11080 MAGNOLIA AVE
RIVERSIDE, CA 92505-3047
Phone number: 951-602-4109
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Mailing Address
-- JASON SHAN
3381 FALCON RIDGE RD
DIAMOND BAR, CA 91765-3822
Phone number:
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