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Individual
LEILA R FATFAT
Active
Individual
LEILA R FATFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP044328L
PA
183500000X
Pharmacist
Primary
RP1002552
PA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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