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1992800254
MICHAEL ROGER CHAMBERLAIN
ABITA SPRINGS, LA
NPI
1992800254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14768)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ROGER CHAMBERLAIN
22107 HIGHWAY 36 # B
ABITA SPRINGS, LA 70420-3949
Phone number: 985-875-9906
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Mailing Address
Mr. MICHAEL ROGER CHAMBERLAIN
22107 HIGHWAY 36 # B
ABITA SPRINGS, LA 70420-3949
Phone number: 985-875-9906
Copy
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