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1871875450
BRENDA THOMAS LEGAUX
SHREVEPORT, LA
NPI
1871875450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15289)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
Mrs. BRENDA THOMAS LEGAUX
3124 LINE AVE
SHREVEPORT, LA 71104-4240
Phone number: 318-222-4807
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Mailing Address
Mrs. BRENDA THOMAS LEGAUX
3124 LINE AVE
SHREVEPORT, LA 71104-4240
Phone number: 318-222-4807
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