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1881270882
KISEONG SONG
VAN NUYS, CA
NPI
1881270882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 82374)
Enumeration Date
2021-03-20
Last Update Date
2021-03-20
Business Address
KISEONG SONG
6201 SEPULVEDA BLVD
VAN NUYS, CA 91411-1111
Phone number: 818-373-5005
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Mailing Address
KISEONG SONG
7422 HAZELTINE AVE APT 6
VAN NUYS, CA 91405-1472
Phone number: 303-870-9232
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