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Individual

MRS. MARILYN SAMPOGNARO BERTRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
(318) 549-2110
Mailing address
305 SUMMER LAKE DR, BOSSIER CITY, LA 71112-8785
(318) 549-2107
(318) 549-2110

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14069
LA

Other

Enumeration date
09/27/2013
Last updated
09/27/2013
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