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Individual

AN ERIC NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 W 6TH ST, CORONA, CA 92882-3210
(951) 406-1521
Mailing address
12402 DALE ST, GARDEN GROVE, CA 92841-3277

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59177
CA

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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