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1366866725
CHUONG VAN
SHREVEPORT, LA
NPI
1366866725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 019590)
Enumeration Date
2014-02-05
Last Update Date
2014-02-05
Business Address
-- CHUONG VAN Pharm D
6235 WESTPORT AVE
SHREVEPORT, LA 71129-2503
Phone number: 318-688-7911
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Mailing Address
-- CHUONG VAN Pharm D
6235 WESTPORT AVE
SHREVEPORT, LA 71129-2503
Phone number: 318-688-7911
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