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1558628503
LONG N LE
DALLAS, TX
NPI
1558628503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 39101)
Enumeration Date
2012-04-16
Last Update Date
2012-04-16
Business Address
-- LONG N LE
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-0503
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Mailing Address
-- LONG N LE
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-0503
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