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1003294034
ABIY ASFAW
ALEXANDRIA, LA
NPI
1003294034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST. 021007)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- ABIY ASFAW
54450 PROVINE PL
ALEXANDRIA, LA 71303
Phone number: 207-907-8449
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Mailing Address
-- ABIY ASFAW
5445 PROVINE PL 103
ALEXANDRIA, LA 71303-3700
Phone number:
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