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1770805830
KELLY WHITE RAINWATER
SHREVEPORT, LA
NPI
1770805830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16746)
Enumeration Date
2010-02-17
Last Update Date
2023-07-17
Business Address
KELLY WHITE RAINWATER RPh
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
KELLY WHITE RAINWATER RPh
4423 CRESWELL AVE
SHREVEPORT, LA 71106-1631
Phone number:
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