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1992197107
CHANTRA PROM
BLOOMINGTON, MN
NPI
1992197107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 121468)
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
-- CHANTRA PROM PharmD
7940 PENN AVE S
BLOOMINGTON, MN 55431-1315
Phone number: 952-252-1154
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Mailing Address
-- CHANTRA PROM PharmD
7940 PENN AVE S
BLOOMINGTON, MN 55431-1315
Phone number: 952-252-1154
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