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1508140773
JOSEPH KENNETH VIZENA
LAFAYETTE, LA
NPI
1508140773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 10233)
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
Mr. JOSEPH KENNETH VIZENA R.Ph.
3754 MOSS STREET
LAFAYETTE, LA 70507
Phone number: 337-269-9300
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Mailing Address
Mr. JOSEPH KENNETH VIZENA R.Ph.
303 TORONTO DRIVE
LAFAYETTE, LA 70507-4109
Phone number: 337-269-0365
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