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1275819062
TIANA PHAN
YUCAIPA, CA
NPI
1275819062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 64934)
Enumeration Date
2011-10-25
Last Update Date
2011-10-25
Business Address
TIANA PHAN
34503 YUCAIPA BLVD
YUCAIPA, CA 92399-4129
Phone number: 909-790-7464
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Mailing Address
TIANA PHAN
519 SILVERHAWK DR
CORONA, CA 92879-4007
Phone number: 714-225-1086
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