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1255611307
EDMOND GABRIEL DUCOTE
SHREVEPORT, LA
NPI
1255611307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15919)
Enumeration Date
2011-08-21
Last Update Date
2011-08-21
Business Address
Mr. EDMOND GABRIEL DUCOTE RPH
3124 LINE AVE
SHREVEPORT, LA 71104-4240
Phone number: 318-222-4807
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Mailing Address
Mr. EDMOND GABRIEL DUCOTE RPH
9621 NORRIS FERRY RD
SHREVEPORT, LA 71106-7719
Phone number: 318-797-9302
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