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1154654945
TIFFANY CATHLEEN LUSE UPSHAW
BOSSIER CITY, LA
NPI
1154654945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 018936)
Enumeration Date
2009-09-10
Last Update Date
2015-04-13
Business Address
-- TIFFANY CATHLEEN LUSE UPSHAW Pharm.D.
3045 E TEXAS ST
BOSSIER CITY, LA 71111-3207
Phone number: 318-741-1776
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Mailing Address
-- TIFFANY CATHLEEN LUSE UPSHAW Pharm.D.
318 BEVLY LAKE DR
BOSSIER CITY, LA 71111-5174
Phone number:
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