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1891018339
JACOB BONAVENTURE CHENNAT
IRVING, TX
NPI
1891018339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 35881)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
Mr. JACOB BONAVENTURE CHENNAT Rph
1050 W SHADY GROVE RD
IRVING, TX 75060
Phone number: 972-254-0305
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Mailing Address
Mr. JACOB BONAVENTURE CHENNAT Rph
512 RAVEN CT
COLLEYVILLE, TX 76034-8692
Phone number: 817-656-0191
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