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1396179057
BRIAN JAMES MASON
SHREVEPORT, LA
NPI
1396179057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15629)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
Mr. BRIAN JAMES MASON pharmacist
6652 YOUREE DR
SHREVEPORT, LA 71105-4630
Phone number: 318-795-0506
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Mailing Address
Mr. BRIAN JAMES MASON pharmacist
6652 YOUREE DRIVE
SHREVEPORT, LA 71105
Phone number: 318-795-0506
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