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1760675508
GRANT D BOATRIGHT
LAFAYETTE, LA
NPI
1760675508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15389)
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
Mr. GRANT D BOATRIGHT P.D
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6238
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Mailing Address
Mr. GRANT D BOATRIGHT P.D
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6238
Copy
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