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1922315852
TAISA V PAVELKO
SACRAMENTO, CA
NPI
1922315852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 35423)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
-- TAISA V PAVELKO Pharm. D
4980 FREEPORT BLVD
SACRAMENTO, CA 95822-2153
Phone number: 916-247-4016
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Mailing Address
-- TAISA V PAVELKO Pharm. D
4980 FREEPORT BLVD
SACRAMENTO, CA 95822-2153
Phone number: 916-247-4016
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