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Individual

ANH BAO LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5502
Mailing address
682 KAWEAH AVE, CLOVIS, CA 93619-6905
(267) 974-8073

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57721
CA
183500000X
Pharmacist
RP439412
PA

Other

Enumeration date
10/05/2012
Last updated
06/12/2014
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