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1346526019
LOU L LUCASSEN
GREEN BAY, WI
NPI
1346526019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 15595-40)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
Mrs. LOU L LUCASSEN pharm D
1401 E MASON ST
GREEN BAY, WI 54301-3330
Phone number: 920-435-7679
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Mailing Address
Mrs. LOU L LUCASSEN pharm D
1401 E MASON ST
GREEN BAY, WI 54301-3330
Phone number: 920-435-7679
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