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1720372915
LEE DERIC LUU
FONTANA, CA
NPI
1720372915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 61674)
Enumeration Date
2011-06-05
Last Update Date
2011-06-05
Business Address
-- LEE DERIC LUU pharm d
16964 SLOVER AVE
FONTANA, CA 92337-7556
Phone number: 909-356-0540
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Mailing Address
-- LEE DERIC LUU pharm d
1970 CASTLEGATE LN
REDLANDS, CA 92374-1636
Phone number: 909-991-9281
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