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1760714828
MORRELL JEROME LAVENDER
SAN DIEGO, CA
NPI
1760714828
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Former Name
MORRELL JEROME LEGHORN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: CA 81495)
Enumeration Date
2010-01-31
Last Update Date
2014-03-14
Business Address
MORRELL JEROME LAVENDER
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7560
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Mailing Address
MORRELL JEROME LAVENDER
1705 CROSSROADS ST
CHULA VISTA, CA 91915-1840
Phone number: 619-415-1203
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