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1447677232
STACY MANOR
BOSSIER CITY, LA
NPI
1447677232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17664)
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
Dr. STACY MANOR PharmD
2536 AIRLINE DR
BOSSIER CITY, LA 71111-5813
Phone number: 318-747-8816
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Mailing Address
Dr. STACY MANOR PharmD
2536 AIRLINE DR
BOSSIER CITY, LA 71111-5813
Phone number: 318-747-8816
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