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1013334614
WAYNE DIAL
BOSSIER CITY, LA
NPI
1013334614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17168)
Enumeration Date
2014-03-21
Last Update Date
2014-03-21
Business Address
Mr. WAYNE DIAL
2536 AIRLINE DR
BOSSIER CITY, LA 71111-5813
Phone number: 318-422-0182
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Mailing Address
Mr. WAYNE DIAL
2536 AIRLINE DR
BOSSIER CITY, LA 71111-5813
Phone number: 318-422-0182
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