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1376886705
LETHI BUI PHAM
EAGLE BUTTE, SD
NPI
1376886705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302037864)
Enumeration Date
2013-04-04
Last Update Date
2013-04-24
Business Address
-- LETHI BUI PHAM RPH
24276 166TH STREET CHEYENNE RIVER HEALTH UNIT
EAGLE BUTTE, SD 57625
Phone number: 605-964-0650
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Mailing Address
-- LETHI BUI PHAM RPH
13742 NEWLAND ST #24
GARDEN GROVE, CA 92844-2525
Phone number: 714-903-4302
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