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1407513229
ANNAMMA SUMI MAMMEN
TRACY, CA
NPI
1407513229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 84470)
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
Ms. ANNAMMA SUMI MAMMEN
3320 N TRACY BLVD
TRACY, CA 95376-1796
Phone number: 209-836-2316
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Mailing Address
Ms. ANNAMMA SUMI MAMMEN
3320 NORTH TRACY BLVD, CALIFORNIA .US.95376
TRACY, CA 95376
Phone number: 209-836-2316
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