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1265722607
LYDIA BARHAM OSWALT
SHREVEPORT, LA
NPI
1265722607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11694)
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
-- LYDIA BARHAM OSWALT
3810 JEWELLA AVE
SHREVEPORT, LA 71109-4706
Phone number: 318-631-9010
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Mailing Address
-- LYDIA BARHAM OSWALT
2010 PINE RIDGE WAY
BENTON, LA 71006-3488
Phone number: 318-965-4173
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