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1174155816
PHONG JOHN DO
LAFAYETTE, LA
NPI
1174155816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.023182)
Enumeration Date
2020-02-11
Last Update Date
2020-02-25
Business Address
PHONG JOHN DO
2822 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-216-9399
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Mailing Address
PHONG JOHN DO
1100 ROBLEY DR APT 5307
LAFAYETTE, LA 70503-5531
Phone number:
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