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1235686502
LISA VENABLE DOMMERT
ALEXANDRIA, LA
NPI
1235686502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13719)
Enumeration Date
2016-09-05
Last Update Date
2016-09-05
Business Address
-- LISA VENABLE DOMMERT rph
1422 MACARTHUR DR
ALEXANDRIA, LA 71301-4022
Phone number: 318-442-0512
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Mailing Address
-- LISA VENABLE DOMMERT rph
5705 COURTLAND PL
ALEXANDRIA, LA 71301-2665
Phone number: 318-664-2852
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