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Individual

GABRIELLE LARROQUE ROUSSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1305 MAIN ST, JEANERETTE, LA 70544-3640
(337) 276-5001
(337) 276-4202
Mailing address
1305 MAIN ST, JEANERETTE, LA 70544-3640
(337) 276-5001
(337) 276-4202

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21850
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2434454
LA
Enumeration date
12/20/2016
Last updated
01/13/2023
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