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1770852360
LARRY LEE OSENBAUGH
HATTIESBURG, MS
NPI
1770852360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS T-09899)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
Mr. LARRY LEE OSENBAUGH Rph
6130 HIGHWAY 49 S
HATTIESBURG, MS 39401
Phone number: 601-545-6959
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Mailing Address
Mr. LARRY LEE OSENBAUGH Rph
57 MONROE PEARCE DR
RICHTON, MS 39476
Phone number: 601-549-0576
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