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1285239152
LARA LONG
TERRE HAUTE, IN
NPI
1285239152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26025601A)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
LARA LONG
2440 WABASH AVE
TERRE HAUTE, IN 47807-3310
Phone number: 812-235-4322
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Mailing Address
LARA LONG
2440 WABASH AVE
TERRE HAUTE, IN 47807-3310
Phone number:
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