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1649744962
PHUONG LAI
SAN RAFAEL, CA
NPI
1649744962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 79323)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
PHUONG LAI
909 GRAND AVE
SAN RAFAEL, CA 94901-3505
Phone number: 415-258-1649
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Mailing Address
PHUONG LAI
956 WOODSIDE RD APT 20
REDWOOD CITY, CA 94061-3642
Phone number: 916-504-0543
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