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1316640907
ALEXANDER GONG JUNG
SAN RAFAEL, CA
NPI
1316640907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 87650)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
ALEXANDER GONG JUNG RPH
471 3RD ST
SAN RAFAEL, CA 94901-3576
Phone number: 415-454-7744
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Mailing Address
ALEXANDER GONG JUNG RPH
1323 W POPLAR ST
STOCKTON, CA 95203-2149
Phone number: 209-981-2126
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