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1619260197
LONG G PHAN
VANCOUVER, WA
NPI
1619260197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA 00022373)
Enumeration Date
2011-05-17
Last Update Date
2011-05-17
Business Address
-- LONG G PHAN Pharmacist
2800 NE 162ND AVE
VANCOUVER, WA 98682-8504
Phone number: 360-253-5613
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Mailing Address
-- LONG G PHAN Pharmacist
2800 NE 162ND AVE
VANCOUVER, WA 98682-8504
Phone number: 360-253-5613
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