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1174980940
JEFFREY BONAVENTURE
BATON ROUGE, LA
NPI
1174980940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14939)
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
-- JEFFREY BONAVENTURE
1401 N FOSTER DR
BATON ROUGE, LA 70806-1818
Phone number: 225-987-9105
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Mailing Address
-- JEFFREY BONAVENTURE
1401 N FOSTER DR
BATON ROUGE, LA 70806-1818
Phone number: 225-987-9105
Copy
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