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Individual

ANDREA L. LEBRUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
147 WEST MAIN STREET, BEULAH, ND 58523-0099
(701) 873-5215
(701) 873-4908
Mailing address
100 3RD ST NE, BEULAH, ND 58523-6617
(701) 873-5215

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5037
ND

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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