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1609883818
MARK STEVEN NELSON
SHREVEPORT, LA
NPI
1609883818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11798)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- MARK STEVEN NELSON R.Ph.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- MARK STEVEN NELSON R.Ph.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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