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Individual
NANCY N LAFAVOR
Active
Individual
NANCY N LAFAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4756
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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