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1619443835
FAREED ENTEZAR
TUSTIN, CA
NPI
1619443835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 46833)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
FAREED ENTEZAR
14642 NEWPORT AVE
TUSTIN, CA 92780-6057
Phone number: 714-669-4000
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Mailing Address
FAREED ENTEZAR
14642 NEWPORT AVE
TUSTIN, CA 92780-6057
Phone number: 714-669-4000
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