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1801540232
JAXON FREDRICK CRUZ VICTORIA
KLAMATH FALLS, OR
NPI
1801540232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-018784)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
JAXON FREDRICK CRUZ VICTORIA RPH
2521 S 6TH ST
KLAMATH FALLS, OR 97601-4343
Phone number: 541-883-2210
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Mailing Address
JAXON FREDRICK CRUZ VICTORIA RPH
1107 W OREGON AVE
KLAMATH FALLS, OR 97601-1950
Phone number: 916-878-8058
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