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1609151059
LAURA IMANAKA
MODESTO, CA
NPI
1609151059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 64230)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- LAURA IMANAKA
3500 COFFEE RD
MODESTO, CA 95355-1305
Phone number: 209-341-0814
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Mailing Address
-- LAURA IMANAKA
5800 EISENHOWER DR
RIVERBANK, CA 95367-3866
Phone number: 209-596-3151
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