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ANDREW PASEUD BOUPHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2811 TIETON DR, YAKIMA, WA 98902-3799
(509) 575-8000
Mailing address
500 UNIVERSITY PKWY APT 141, YAKIMA, WA 98901-8225
(253) 394-1218

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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