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1134435720
CHRIS DAVID BONVILLAIN
LAFAYETTE, LA
NPI
1134435720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14463)
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
Mr. CHRIS DAVID BONVILLAIN
1850 W PINHOOK RD
LAFAYETTE, LA 70508-3720
Phone number: 337-267-4614
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Mailing Address
Mr. CHRIS DAVID BONVILLAIN
1850 W PINHOOK RD
LAFAYETTE, LA 70508-3720
Phone number:
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