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Individual

MABEL DEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
5901 E 7TH ST, V.A. LONG BEACH HEALTHCARE SYSTEM, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
PO BOX 50102, IRVINE, CA 92619-0102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS41634
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH 59407
CA

Other

Enumeration date
09/19/2006
Last updated
07/22/2010
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