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1245548098
WYLIE LEE SHORES
SHREVEPORT, LA
NPI
1245548098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13028)
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
-- WYLIE LEE SHORES R.Ph.
745 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105-2201
Phone number: 318-861-3985
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Mailing Address
-- WYLIE LEE SHORES R.Ph.
6145 RIPPLEWOOD DR
SHREVEPORT, LA 71107-9586
Phone number: 318-518-0359
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