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Individual

GAVIN DANAPONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686
(360) 904-9682
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 60213388
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60213388
WA

Other

Enumeration date
08/05/2011
Last updated
08/03/2018
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