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1285119222
TRAIANA MANGUM
ALEXANDRIA, LA
NPI
1285119222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST022332)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
TRAIANA MANGUM PharmD
4444 JACKSON ST
ALEXANDRIA, LA 71303-2708
Phone number: 318-448-9340
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Mailing Address
TRAIANA MANGUM PharmD
4444 JACKSON ST
ALEXANDRIA, LA 71303-2708
Phone number: 318-448-9340
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