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1154003929
KENNETH LAWRENCE RUSS
NEW ORLEANS, LA
NPI
1154003929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: LA Q9N2E4L2)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
KENNETH LAWRENCE RUSS
101 ALLEN TOUSSAINT BLVD
NEW ORLEANS, LA 70124-2560
Phone number: 504-282-2203
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Mailing Address
KENNETH LAWRENCE RUSS
101 ALLEN TOUSSAINT BLVD
NEW ORLEANS, LA 70124-2560
Phone number: 504-282-2203
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