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1457750655
SEVERAN JOSEPH MEDINE
PLAQUEMINE, LA
NPI
1457750655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 10295)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
Mr. SEVERAN JOSEPH MEDINE
59690 BELLEVIEW DR
PLAQUEMINE, LA 70764-6501
Phone number: 225-687-7878
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Mailing Address
Mr. SEVERAN JOSEPH MEDINE
59690 BELLEVIEW DR
PLAQUEMINE, LA 70764-6501
Phone number: 225-687-7878
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