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1457642365
STEPHEN MANUEL
SHREVEPORT, LA
NPI
1457642365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 10800)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
Mr. STEPHEN MANUEL RPh
761 PIERREMONT RD
SHREVEPORT, LA 71106-2211
Phone number: 318-861-3311
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Mailing Address
Mr. STEPHEN MANUEL RPh
2504 BELLEVUE RD
HAUGHTON, LA 71037-8358
Phone number: 318-949-0415
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