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1750790101
DONAVAN DANIELS
LAFAYETTE, LA
NPI
1750790101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 018226)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
Dr. DONAVAN DANIELS Pharm D 018226
1229 NW EVANGELINE TRWY
LAFAYETTE, LA 70501-3551
Phone number: 337-232-1031
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Mailing Address
Dr. DONAVAN DANIELS Pharm D 018226
1229 NW EVANGELINE TRWY
LAFAYETTE, LA 70501-3551
Phone number: 337-232-1031
Copy
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