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1255748539
CORETTA HARRIS
SHREVEPORT, LA
NPI
1255748539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA pst.015512)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
Ms. CORETTA HARRIS rph
9250 MANSFIELD RD
SHREVEPORT, LA 71118-3125
Phone number: 318-686-6311
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Mailing Address
Ms. CORETTA HARRIS rph
2322 DOVE HOLLOW DR
SHREVEPORT, LA 71118-5200
Phone number:
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