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1558810440
TRA-VI NGO
LAFAYETTE, LA
NPI
1558810440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.021781)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- TRA-VI NGO
3754 MOSS ST
LAFAYETTE, LA 70507-5537
Phone number: 337-269-9300
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Mailing Address
-- TRA-VI NGO
107 PLAZA VILLAGE DR
LAFAYETTE, LA 70506-6067
Phone number:
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