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1235412909
BRUCE WALLACE HUBER
MONROE, LA
NPI
1235412909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 016917)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
Mr. BRUCE WALLACE HUBER
1315 N 3RD ST
MONROE, LA 71201-5233
Phone number: 318-801-5023
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Mailing Address
Mr. BRUCE WALLACE HUBER
1315 N 3RD ST
MONROE, LA 71201-5233
Phone number: 318-801-5023
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