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1295120988
LEELAMMA SAMUEL
DAVIE, FL
NPI
1295120988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS32209)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- LEELAMMA SAMUEL
10754 SW 17TH PL
DAVIE, FL 33324-7157
Phone number: 954-873-5005
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Mailing Address
-- LEELAMMA SAMUEL
10754 SW 17TH PL
DAVIE, FL 33324-7157
Phone number: 954-873-5005
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