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1013273945
JORDAN LEE LASATER
FAYETTEVILLE, NC
NPI
1013273945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 18864)
Enumeration Date
2012-04-04
Last Update Date
2019-04-16
Business Address
JORDAN LEE LASATER
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number: 910-488-2120
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Mailing Address
JORDAN LEE LASATER
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number:
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