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Individual

JEAN DEGENNARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2735 BEENE BLVD, BOSSIER CITY, LA 71111-5491
(318) 678-6801
Mailing address
103 YORK DR, MONROE, LA 71203-2443
(318) 614-1763

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14339
LA

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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