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1407110638
TAKKEUNG KENNETH CHAN
SAN JOSE, CA
NPI
1407110638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 43610)
Enumeration Date
2012-07-03
Last Update Date
2012-07-03
Business Address
Mr. TAKKEUNG KENNETH CHAN RPH
1400 PARKMOOR AVE
SAN JOSE, CA 95126-3797
Phone number: 408-793-2759
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Mailing Address
Mr. TAKKEUNG KENNETH CHAN RPH
1400 PARKMOOR #120A
SAN JOSE, CA 95126-3797
Phone number: 408-793-2759
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