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Individual

LEORA FOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
24 TESORO, NEWPORT COAST, CA 92657-1215
(949) 712-0302
Mailing address
24 TESORO, NEWPORT COAST, CA 92657-1215

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH44450
CA

Other

Enumeration date
01/16/2017
Last updated
01/20/2017
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