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Individual

ABRAHAM K STEPHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
774 ADMIRAL CALLAGHAN LN, VALLEJO, CA 94591-3650
(707) 554-8060
Mailing address
5453 VICTORIA LN, EL SOBRANTE, CA 94803-3832
(510) 223-9748

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31655
CA

Other

Enumeration date
10/31/2012
Last updated
10/31/2012
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