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1417247438
BOB JOHN MATRIANO-LIM
SHREVEPORT, LA
NPI
1417247438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 017233)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
Dr. BOB JOHN MATRIANO-LIM Pharm.D.
1850 N MARKET ST
SHREVEPORT, LA 71107-5212
Phone number: 318-222-2972
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Mailing Address
Dr. BOB JOHN MATRIANO-LIM Pharm.D.
204 SILVER FOX CIR
HAUGHTON, LA 71037-7704
Phone number: 318-564-8880
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