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1043313950
LAVONNE ISAAK
CENTERVILLE, SD
NPI
1043313950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: SD T-0301)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- LAVONNE ISAAK
512 BROADWAY
CENTERVILLE, SD 57014-0070
Phone number: 605-563-2243
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Mailing Address
-- LAVONNE ISAAK
141 DAKOTA STREET
CENTERVILLE, SD 57014
Phone number: 605-563-2116
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