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1194127654
MICHELLE C VAULTZ
BATON ROUGE, LA
NPI
1194127654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 20027)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
Dr. MICHELLE C VAULTZ
12881 PERKINS RD
BATON ROUGE, LA 70810-1913
Phone number: 225-763-6281
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Mailing Address
Dr. MICHELLE C VAULTZ
12881 PERKINS RD
BATON ROUGE, LA 70810-1913
Phone number: 225-763-6281
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