MIRANDA DEJEAN

LAFAYETTE, LA
NPI1922557826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  021780)
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- MIRANDA DEJEAN
1315 MOSS ST
LAFAYETTE, LA 70501-3648
Phone number: 337-232-1564
Mailing Address
-- MIRANDA DEJEAN
1315 MOSS ST
LAFAYETTE, LA 70501-3648
Phone number:
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