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1902290562
MITRA DASTMALCHI
LA JOLLA, CA
NPI
1902290562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 44151)
Enumeration Date
2015-03-22
Last Update Date
2015-03-22
Business Address
-- MITRA DASTMALCHI
8657 VILLA LA JOLLA DR
LA JOLLA, CA 92037-2356
Phone number: 858-597-0108
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Mailing Address
-- MITRA DASTMALCHI
8657 VILLA LA JOLLA DR
LA JOLLA, CA 92037-2356
Phone number: 858-597-0108
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