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1639466345
GLENN JOSEPH FAUL
LAFAYETTE, LA
NPI
1639466345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11870)
Enumeration Date
2011-07-01
Last Update Date
2011-07-01
Business Address
Mr. GLENN JOSEPH FAUL
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number: 337-981-9673
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Mailing Address
Mr. GLENN JOSEPH FAUL
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number: 337-981-9673
Copy
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