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1528671054
TAYLOR KIM FONTENOT
LAFAYETTE, LA
NPI
1528671054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.023574)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
TAYLOR KIM FONTENOT PharmD
2678 JOHNSTON ST
LAFAYETTE, LA 70503-3240
Phone number: 337-233-2265
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Mailing Address
TAYLOR KIM FONTENOT PharmD
4400 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6760
Phone number: 337-984-5133
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