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1518634237
MONA TUONG-KHANH PHAN
PORTLAND, OR
NPI
1518634237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0018513)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
MONA TUONG-KHANH PHAN
4816 NW BETHANY BLVD
PORTLAND, OR 97229-9254
Phone number: 503-439-9014
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Mailing Address
MONA TUONG-KHANH PHAN
4816 NW BETHANY BLVD
PORTLAND, OR 97229-9254
Phone number: 503-439-9014
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