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1548803711
RENICE REBECCA JACKSON
SHREVEPORT, LA
NPI
1548803711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: LA 009189)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
RENICE REBECCA JACKSON
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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Mailing Address
RENICE REBECCA JACKSON
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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