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1790294395
CHETTRA SO PRUM
SAN JOSE, CA
NPI
1790294395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 77373)
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
CHETTRA SO PRUM
6477 ALMADEN EXPY
SAN JOSE, CA 95120-2902
Phone number: 408-550-5547
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Mailing Address
CHETTRA SO PRUM
6477 ALMADEN EXPY
SAN JOSE, CA 95120-2902
Phone number:
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