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1336423987
LISA DEYOUNG
KIRKSVILLE, MO
NPI
1336423987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2007002494)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
-- LISA DEYOUNG rph
311 N BALTIMORE ST
KIRKSVILLE, MO 63501-3209
Phone number: 660-665-3063
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Mailing Address
-- LISA DEYOUNG rph
311 N BALTIMORE ST
KIRKSVILLE, MO 63501-3209
Phone number: 660-665-3063
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