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Individual
NORMAN DICK GONG
Active
Individual
NORMAN DICK GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24522
PHARMACIST
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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