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1669754800
KENNETH JOSEPH BONNEAU
LAFAYETTE, LA
NPI
1669754800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 08620)
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
Mr. KENNETH JOSEPH BONNEAU
3754 MOSS ST
LAFAYETTE, LA 70507-5537
Phone number: 337-269-9300
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Mailing Address
Mr. KENNETH JOSEPH BONNEAU
3754 MOSS ST
LAFAYETTE, LA 70507-5537
Phone number: 337-269-9300
Copy
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