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1225389190
C KEITH PREJEAN
LAKE CHARLES, LA
NPI
1225389190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14201)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- C KEITH PREJEAN P.D.
2750 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5914
Phone number: 337-480-4132
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Mailing Address
-- C KEITH PREJEAN P.D.
2750 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5914
Phone number: 337-480-4132
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