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1801147061
TANAKORN SOPON
MODESTO, CA
NPI
1801147061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 67776)
Enumeration Date
2012-09-27
Last Update Date
2024-04-27
Business Address
DR. TANAKORN SOPON PHARM.D.
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-6949
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Mailing Address
DR. TANAKORN SOPON PHARM.D.
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-6949
Copy
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