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1396471173
MITCHELL TELLES
SHREVEPORT, LA
NPI
1396471173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 024398)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
MITCHELL TELLES Pharm.D.
9194 MANSFIELD RD
SHREVEPORT, LA 71118-3123
Phone number: 318-687-7272
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Mailing Address
MITCHELL TELLES Pharm.D.
3257 BERT KOUNS INDUSTRIAL LOOP APT 11106
SHREVEPORT, LA 71118-2964
Phone number: 512-565-2256
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