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1780013458
JEAN DEGENNARO
BOSSIER CITY, LA
NPI
1780013458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14339)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- JEAN DEGENNARO RPh
2735 BEENE BLVD
BOSSIER CITY, LA 71111-5491
Phone number: 318-678-6801
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Mailing Address
-- JEAN DEGENNARO RPh
103 YORK DR
MONROE, LA 71203-2443
Phone number: 318-614-1763
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