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Individual

FRANCES IRIS DAGUMBOY MANZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2299 ODDIE BLVD, SPARKS, NV 89431-7573
(775) 358-4721
Mailing address
611 STANFORD WAY APT A, SPARKS, NV 89431-4500
(347) 726-0042

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18026
NV

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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