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1457734865
ISAAC BOGONKO
RICHARDSON, TX
NPI
1457734865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 45643)
Enumeration Date
2015-07-02
Last Update Date
2015-07-02
Business Address
-- ISAAC BOGONKO
1260 W SPRING VALLEY RD STE B
RICHARDSON, TX 75080-6720
Phone number: 281-250-4134
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Mailing Address
-- ISAAC BOGONKO
7209 NORTHERN LIGHTS CT
PLANO, TX 75074-8990
Phone number: 281-250-4134
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