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1114201720
JASSONI SHAE YOUNG
SHREVEPORT, LA
NPI
1114201720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 019494)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
Dr. JASSONI SHAE YOUNG Pharm D
7110 YOUREE DR
SHREVEPORT, LA 71105-5107
Phone number: 318-798-7860
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Mailing Address
Dr. JASSONI SHAE YOUNG Pharm D
7110 YOUREE DR
SHREVEPORT, LA 71105-5107
Phone number: 318-798-7860
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