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1487741278
DALE J TIMOTHY
RIVERSIDE, CA
NPI
1487741278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 33486)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
MR. DALE J TIMOTHY RPH
10800 MAGNOLIA AVENUE
RIVERSIDE, CA 92505
Phone number: 951-353-3623
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Mailing Address
MR. DALE J TIMOTHY RPH
25838 KELLOGG STREET
LOMA LINDA, CA 92354
Phone number: 909-796-2934
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