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Individual

MR. GAN YERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2201 S COMMONS, T1947, FEDERAL WAY, WA 98003-6023
(253) 733-7521
Mailing address
2201 S COMMONS, T1947, FEDERAL WAY, WA 98003-6023
(253) 733-7521

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60231072
WA

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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