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1609159029
EBONY COOK
LAKE CHARLES, LA
NPI
1609159029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 019117)
Enumeration Date
2011-09-21
Last Update Date
2015-09-03
Business Address
-- EBONY COOK
4060 RYAN ST
LAKE CHARLES, LA 70605-2841
Phone number: 337-478-9197
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Mailing Address
-- EBONY COOK
2863 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5905
Phone number: 337-406-8806
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