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Individual

APRIL CANAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6049 RED SPUR CT, FONTANA, CA 92336-4548
(909) 936-9553
Mailing address
6049 RED SPUR CT, FONTANA, CA 92336-4548

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58854
CA

Other

Enumeration date
06/18/2010
Last updated
06/18/2010
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