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Individual
MYRNA LEAH CORONEL
Active
Individual
MYRNA LEAH CORONEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410215140
TAX ID
CA
Enumeration date
03/29/2013
Last updated
03/29/2013
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