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Individual

DR. ADEDOTUN AJAGUNNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
6101 W 70TH ST, SHREVEPORT, LA 71129-2507
(318) 688-1448
Mailing address
3501 CHAMPION LAKE BLVD, APT. 1609, SHREVEPORT, LA 71105-3772

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019279
LA
183500000X
Pharmacist
49662
TX

Other

Enumeration date
09/03/2011
Last updated
09/03/2011
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