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1083900088
CANDACE YVETTE HENDERSON
MONROE, LA
NPI
1083900088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17222)
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
Ms. CANDACE YVETTE HENDERSON Pharm. D.
4103 PECANLAND MALL DR
MONROE, LA 71203-7009
Phone number: 318-388-3474
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Mailing Address
Ms. CANDACE YVETTE HENDERSON Pharm. D.
4103 PECANLAND MALL DR
MONROE, LA 71203-7009
Phone number: 318-388-3474
Copy
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