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1477839793
KHANH TA
FRESNO, CA
NPI
1477839793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 48604)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- KHANH TA rph
6885 N WILLOW AVE
FRESNO, CA 93710-5949
Phone number: 559-322-0698
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Mailing Address
-- KHANH TA rph
6885 N WILLOW AVE
FRESNO, CA 93710-5949
Phone number: 559-322-0698
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