XAISOURINE NING BOUPHARATH

JOPLIN, MO
NPI1194192039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2015026145)
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
Dr. XAISOURINE NING BOUPHARATH Pharm.D
1501 S RANGE LINE RD
JOPLIN, MO 64804-3230
Phone number: 417-624-2222
Mailing Address
Dr. XAISOURINE NING BOUPHARATH Pharm.D
1707 REX AVE APT 172F
JOPLIN, MO 64801-5940
Phone number: 615-294-8328
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