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1366085060
TRAVIS LOGAN EDDLEMON
ALEXANDRIA, LA
NPI
1366085060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 022807)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
TRAVIS LOGAN EDDLEMON R.Ph
3333 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-623-6992
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Mailing Address
TRAVIS LOGAN EDDLEMON R.Ph
3333 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-445-6386
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