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1831190131
CONNIE MARIE PETERSON
ALEXANDRIA, LA
NPI
1831190131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13816)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Mrs. CONNIE MARIE PETERSON RPH
2351 VANDENBURG DR
ALEXANDRIA, LA 71303-5609
Phone number: 318-483-7336
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Mailing Address
Mrs. CONNIE MARIE PETERSON RPH
2310 COULEE CROSSING RD
WOODWORTH, LA 71485-9732
Phone number: 318-442-0229
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