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1841507100
JENNY BLACKBURN TREE
SHREVEPORT, LA
NPI
1841507100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16375)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- JENNY BLACKBURN TREE R.Ph.
3000 N MARKET ST
SHREVEPORT, LA 71107-4062
Phone number: 318-424-3251
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Mailing Address
-- JENNY BLACKBURN TREE R.Ph.
3000 N MARKET ST
SHREVEPORT, LA 71107-4062
Phone number: 318-424-3251
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