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Individual

JULI REBEKAH LARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
1500 N TRENTON ST, RUSTON, LA 71270-2328
(318) 254-8256
(318) 254-8270
Mailing address
1500 N TRENTON ST, RUSTON, LA 71270-2328
(318) 254-8256
(318) 254-8270

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019099
LA

Other

Enumeration date
05/16/2012
Last updated
05/16/2012
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