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1720720204
JESSY KHANTHAPHENGXAY
DES MOINES, IA
NPI
1720720204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 24402)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
JESSY KHANTHAPHENGXAY PharmD
2545 E EUCLID AVE
DES MOINES, IA 50317-6010
Phone number: 515-266-3174
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Mailing Address
JESSY KHANTHAPHENGXAY PharmD
2545 E EUCLID AVE
DES MOINES, IA 50317-6010
Phone number: 515-266-3174
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