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Individual

DUNG TRINA LA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
230 W CATALPA DR, MISHAWAKA, IN 46545-8321
(574) 256-2630
(574) 256-2669
Mailing address
230 W CATALPA DR, MISHAWAKA, IN 46545-8321
(574) 256-2630
(574) 256-2669

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024669A
IN

Other

Enumeration date
08/24/2012
Last updated
08/24/2012
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