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1245630573
BROOKE VANDERBERG
SHREVEPORT, LA
NPI
1245630573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 020624)
Enumeration Date
2014-08-22
Last Update Date
2014-08-22
Business Address
-- BROOKE VANDERBERG
3000 N MARKET ST
SHREVEPORT, LA 71107-4062
Phone number: 318-424-3251
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Mailing Address
-- BROOKE VANDERBERG
3000 N MARKET ST
SHREVEPORT, LA 71107-4062
Phone number:
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