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Individual

CAROL B SAN VICENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
3501 STOCKTON HILL RD, KINGMAN, AZ 86409-3227
(928) 757-1999
(928) 757-4441
Mailing address
3501 STOCKTON HILL RD, KINGMAN, AZ 86409-3227
(928) 757-1999
(928) 757-4441

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013932
AZ

Other

Enumeration date
10/07/2011
Last updated
01/17/2013
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