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1629482401
DONNELL JON LAZO LU
BRAWLEY, CA
NPI
1629482401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 65117)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- DONNELL JON LAZO LU
405 W MAIN ST
BRAWLEY, CA 92227-2244
Phone number: 760-344-5732
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Mailing Address
-- DONNELL JON LAZO LU
405 W MAIN ST
BRAWLEY, CA 92227-2244
Phone number: 760-344-5732
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