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1497318075
AGNES FUGEN
SAN FERNANDO, CA
NPI
1497318075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 57318)
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
AGNES FUGEN
1204 SAN FERNANDO RD
SAN FERNANDO, CA 91340-3205
Phone number: 818-361-2679
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Mailing Address
AGNES FUGEN
19424 SOLEDAD CANYON RD
CANYON COUNTRY, CA 91351-2631
Phone number:
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