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1710423025
TOLEFAC AKEM TABANG
KAYENTA, AZ
NPI
1710423025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P2201X Pharmacist Ambulatory Care
(Licence: VA 0202215386)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
TOLEFAC AKEM TABANG
1/2 MILE S OF MP 394.3 KAYENTA HEALTH CENTER
KAYENTA, AZ 86033
Phone number: 240-899-8677
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Mailing Address
TOLEFAC AKEM TABANG
1/2 MILE S OF MP 394.3
KAYENTA, AZ 86033
Phone number: 240-899-8677
Copy
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