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1760994362
LUU PHAN
SURPRISE, AZ
NPI
1760994362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s022830)
Enumeration Date
2017-11-04
Last Update Date
2017-11-04
Business Address
LUU PHAN
14285 W GRAND AVE
SURPRISE, AZ 85374-4297
Phone number: 623-975-3944
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Mailing Address
LUU PHAN
555 N COLLEGE AVE APT 2011
TEMPE, AZ 85281-0187
Phone number:
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