DUSTY FALLIN

MONROE, LA
NPI1780056473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  021044)
Enumeration Date2015-10-21
Last Update Date2015-10-23
Business Address
-- DUSTY FALLIN
110 SAINT JOHN ST
MONROE, LA 71201-7322
Phone number: 318-807-1083
Mailing Address
-- DUSTY FALLIN
110 SAINT JOHN ST
MONROE, LA 71201-7322
Phone number: 318-807-1083
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