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Individual

JOHN CAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7451 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-2273
(253) 564-7569
(253) 564-8208
Mailing address
7451 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-2273
(253) 564-7569
(253) 564-8208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
041389
TX
183500000X
Pharmacist
Primary
PH00039805
WA
183500000X
Pharmacist
PH23754
MA

Other

Enumeration date
02/19/2010
Last updated
02/19/2010
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