SANTOSH KURUVILLA JACOB

TACOMA, WA
NPI1437412822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60090092)
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
Mr. SANTOSH KURUVILLA JACOB
104 MILITARY RD S
TACOMA, WA 98444-6927
Phone number: 253-538-1688
Mailing Address
Mr. SANTOSH KURUVILLA JACOB
104 MILITARY RD S
TACOMA, WA 98444
Phone number: 253-538-1688
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