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1689446239
CLEMENTINE F FOMBA
TUBA CITY, AZ
NPI
1689446239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 19686)
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
Dr. CLEMENTINE F FOMBA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2760
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Mailing Address
Dr. CLEMENTINE F FOMBA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2760
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