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1174516272
JAYNE WALLACE DISHMAN
NEW IBERIA, LA
NPI
1174516272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15565)
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Business Address
Mrs. JAYNE WALLACE DISHMAN RPh
308 N LEWIS ST
NEW IBERIA, LA 70563-2843
Phone number: 337-364-7671
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Mailing Address
Mrs. JAYNE WALLACE DISHMAN RPh
607 OAK MANOR DR
NEW IBERIA, LA 70563-2223
Phone number: 337-369-9783
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