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1932973096
JACOB SANDOVAL
WHITERIVER, AZ
NPI
1932973096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S025338)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
JACOB SANDOVAL PharmD
200 W HOSPITAL DRIVE
WHITERIVER, AZ 85941
Phone number: 928-338-4911
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Mailing Address
JACOB SANDOVAL PharmD
5260 TRAIL END RD
LAKESIDE, AZ 85929-5723
Phone number: 520-869-0545
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