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1235898784
KATRINA GRANT FARRIS
SHREVEPORT, LA
NPI
1235898784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.024128)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
KATRINA GRANT FARRIS
9209 MANSFIELD RD
SHREVEPORT, LA 71118-3152
Phone number: 318-671-0271
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Mailing Address
KATRINA GRANT FARRIS
6313 CROSSWIND DR
SHREVEPORT, LA 71119-8408
Phone number:
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