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Individual

BRUCE BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4601 CANDLEBERRY AVE, SEAL BEACH, CA 90740-3028
(858) 249-0105
Mailing address
4601 CANDLEBERRY AVE, SEAL BEACH, CA 90740-3028

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46374
CA

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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