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Individual

MARA LEWIS-NABORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD.

Contact information

Practice address
6198 CYPRESS ST, WEST MONROE, LA 71291-9010
(318) 397-5673
Mailing address
529 STUBBS VINSON RD, MONROE, LA 71203-8582
(318) 343-8456

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16764
LA

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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