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Individual

MRS. ANITA JO LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2401 WATERMAN BLVD, FAIRFIELD, CA 94534-1800
(707) 427-5642
(707) 427-5645
Mailing address
410 BRIANS WAY, DIXON, CA 95620-4296
(707) 673-6539

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32847
CA

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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