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Individual

JESSICA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
565 EVERGREEN ST, BUNKIE, LA 71322-3916
(864) 504-5758
Mailing address
565 EVERGREEN ST, BUNKIE, LA 71322-3916

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000039257
TN
183500000X
Pharmacist
062000
NY

Other

Enumeration date
03/21/2017
Last updated
03/21/2017
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