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1598115495
TAN NATHAN LUONG
NAMPA, ID
NPI
1598115495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5384)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- TAN NATHAN LUONG PharmD
1603 12TH AVE RD
NAMPA, ID 83686-7712
Phone number: 208-465-7000
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Mailing Address
-- TAN NATHAN LUONG PharmD
1603 12TH AVE RD
NAMPA, ID 83686-7712
Phone number: 208-465-7000
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