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1578902102
LIJAN PUTHUVALIL
SAN DIEGO, CA
NPI
1578902102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 61994)
Enumeration Date
2013-06-17
Last Update Date
2013-08-13
Business Address
-- LIJAN PUTHUVALIL
14340 PENASQUITOS DR
SAN DIEGO, CA 92129-1602
Phone number: 858-672-2598
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Mailing Address
-- LIJAN PUTHUVALIL
PO BOX 928233
SAN DIEGO, CA 92192-8233
Phone number:
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