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1982158069
EBONY FAULK
LAFAYETTE, LA
NPI
1982158069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.021648)
Enumeration Date
2016-08-07
Last Update Date
2016-08-07
Business Address
-- EBONY FAULK
2252 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-3705
Phone number: 337-780-7745
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Mailing Address
-- EBONY FAULK
2252 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-3705
Phone number: 337-780-7745
Copy
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