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Individual

MRS. RHONDA BOURGEOIS TOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1701 CHARTER ST, JACKSON, LA 70748
(225) 634-2470
(225) 634-7975
Mailing address
PO BOX 306, JACKSON, LA 70748-0306
(225) 634-2470
(225) 634-7975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13994
LA

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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