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1124596630
KRYSTAL LYNN ELLIS
HOUMA, LA
NPI
1124596630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: LA 6462)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
KRYSTAL LYNN ELLIS CPHT
6096 W PARK AVE
HOUMA, LA 70364-1808
Phone number: 985-876-2584
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Mailing Address
KRYSTAL LYNN ELLIS CPHT
6096 W PARK AVE
HOUMA, LA 70364-1808
Phone number: 985-876-2584
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