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1689114241
REBECCA BROCK PRUDHOMME
LAFAYETTE, LA
NPI
1689114241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 021060)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- REBECCA BROCK PRUDHOMME PharmD
6130 JOHNSTON ST
LAFAYETTE, LA 70503-5619
Phone number: 225-206-2533
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Mailing Address
-- REBECCA BROCK PRUDHOMME PharmD
6130 JOHNSTON ST
LAFAYETTE, LA 70503-5619
Phone number: 225-206-2533
Copy
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