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1427548551
IYAS RAY MASANNAT
SAN DIEGO, CA
NPI
1427548551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 61185)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
IYAS RAY MASANNAT
10955 EVENING CREEK DR E
SAN DIEGO, CA 92128-4009
Phone number: 801-830-0804
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Mailing Address
IYAS RAY MASANNAT
10955 EVENING CREEK DR E
SAN DIEGO, CA 92128-4009
Phone number: 801-830-0804
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