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1336331834
LAURENS TRAVIS LONG
NASHVILLE, TN
NPI
1336331834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 6523)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
Mr. LAURENS TRAVIS LONG dph
2600 HILLSBORO PIKE APT 106
NASHVILLE, TN 37212-5635
Phone number: 615-948-9821
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Mailing Address
Mr. LAURENS TRAVIS LONG dph
2600 HILLSBORO PIKE APT 106
NASHVILLE, TN 37212-5635
Phone number: 615-948-9821
Copy
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