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1972904530
THAO PHAN
SEATTLE, WA
NPI
1972904530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60475891)
Enumeration Date
2014-09-12
Last Update Date
2014-09-12
Business Address
-- THAO PHAN Pharm.D.
4025 DELRIDGE WAY SW
SEATTLE, WA 98106-1249
Phone number: 206-767-0333
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Mailing Address
-- THAO PHAN Pharm.D.
22006 40TH PL S
KENT, WA 98032-8423
Phone number: 206-992-3669
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