Cletus Lesia Gana Fomban, PH60759925
Cletus Lesia Gana Fomban, PH60759925 is a Pharmacist in Tumwater, Washington. Licensed in Washington. Registered with an NPI since 2017.
- Licensed in
- WA
- In the registry since
- 2017
Practice location Address checks out
702 Trosper Rd SWTumwater, WA 98512
Phone: (360) 943-5178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PH60759925 (WA) |
|---|
Record details
| NPI number | 1265941256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PH60759925 |
| Sole proprietor | No |
| NPI enumerated | September 22, 2017 |
| Last updated in NPPES | July 21, 2022 |
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Jaskirat S Boyal
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Jasmeen Heer, RPH
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