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1922100833
WANDA ELIZABETH BURTON
SHREVEPORT, LA
NPI
1922100833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13718)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Mrs. WANDA ELIZABETH BURTON rph
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mrs. WANDA ELIZABETH BURTON rph
2504 SHERI LN
SHREVEPORT, LA 71109-3026
Phone number: 318-621-8764
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