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1962048140
ANDREW QUANG TRAN
FORT WAYNE, IN
NPI
1962048140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26020009a)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
ANDREW QUANG TRAN
6202 SAINT JOE CENTER RD
FORT WAYNE, IN 46835-2506
Phone number: 260-492-2054
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Mailing Address
ANDREW QUANG TRAN
6202 SAINT JOE CENTER RD
FORT WAYNE, IN 46835-2506
Phone number: 260-492-2054
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