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1245003995
MIKEY PHILAYVANH
YOUNGSVILLE, LA
NPI
1245003995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 025070)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
MIKEY PHILAYVANH
1500 BONIN RD
YOUNGSVILLE, LA 70592-5102
Phone number: 337-573-6177
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Mailing Address
MIKEY PHILAYVANH
1368 LEED CHAMPAGNE RD
SAINT MARTINVILLE, LA 70582-6627
Phone number:
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