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1912209032
CAMILLE ROSE GRANT
MODESTO, CA
NPI
1912209032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH 61143)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
DR. CAMILLE ROSE GRANT PHARM.D.
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-6950
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Mailing Address
DR. CAMILLE ROSE GRANT PHARM.D.
2109 PRESTON LN
MODESTO, CA 95355-2626
Phone number: 209-380-0929
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