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1821318965
MOHAMED BASSIOUNI
TACOMA, WA
NPI
1821318965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph00065610)
Enumeration Date
2010-06-10
Last Update Date
2010-06-10
Business Address
-- MOHAMED BASSIOUNI rph
1912 N PEARL ST
TACOMA, WA 98406-2457
Phone number: 253-879-0140
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Mailing Address
-- MOHAMED BASSIOUNI rph
1912 N PEARL ST
TACOMA, WA 98406-2457
Phone number: 253-879-0140
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