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1982091989
BRYAN TRAN
LAFAYETTE, LA
NPI
1982091989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.020988)
Enumeration Date
2015-04-17
Last Update Date
2015-04-17
Business Address
-- BRYAN TRAN
6130 JOHNSTON ST
LAFAYETTE, LA 70503-5619
Phone number: 630-962-0021
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Mailing Address
-- BRYAN TRAN
221 VEROT SCHOOL RD APT 433
LAFAYETTE, LA 70508-3994
Phone number: 630-962-0021
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