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Individual

KATRINA GRANT FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
6313 CROSSWIND DR, SHREVEPORT, LA 71119-8408

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024128
LA

Other

Enumeration date
12/13/2021
Last updated
12/13/2021
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