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1881900421
TONJA MELETTE RAPHAEL
COVINGTON, LA
NPI
1881900421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17197)
Enumeration Date
2010-08-20
Last Update Date
2010-08-20
Business Address
Dr. TONJA MELETTE RAPHAEL PharmD
295 PONCHITOLAWA DRIVE
COVINGTON, LA 70433
Phone number: 504-319-0891
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Mailing Address
Dr. TONJA MELETTE RAPHAEL PharmD
295 PONCHITOLAWA DR
COVINGTON, LA 70433-6203
Phone number: 504-319-0891
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