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1629496732
BRANDON CORLISS
SHREVEPORT, LA
NPI
1629496732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17718)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
-- BRANDON CORLISS Pharm.D
9550 MANSFIELD RD
SHREVEPORT, LA 71118-4402
Phone number: 318-688-4151
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Mailing Address
-- BRANDON CORLISS Pharm.D
9550 MANSFIELD RD
SHREVEPORT, LA 71118-4402
Phone number: 318-688-4151
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