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1831779594
LIANG YAN
BOISE, ID
NPI
1831779594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P9247)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
LIANG YAN Pharmacist
1515 W STATE ST
BOISE, ID 83702-4039
Phone number: 208-345-7684
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Mailing Address
LIANG YAN Pharmacist
1515 W STATE ST
BOISE, ID 83702-4039
Phone number: 208-345-7684
Copy
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