EDWIN PAUL DOMINGUE

LAFAYETTE, LA
NPI1841620234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST 10459)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
-- EDWIN PAUL DOMINGUE P.D.
105 DUNCAN DR
LAFAYETTE, LA 70503-4756
Phone number: 337-988-2711
Mailing Address
-- EDWIN PAUL DOMINGUE P.D.
105 DUNCAN DR
LAFAYETTE, LA 70503-4756
Phone number: 337-988-2711
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