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Individual

CAROL MO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
51 TIERRA REJADA RD, SIMI VALLEY, CA 93065-2902
(805) 416-5791
Mailing address
706 CANARY LN, CORONA, CA 92879-2560

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 70292
CA

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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