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Individual

MRS. REBECCA FALCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5341 MYRLE ST, ADDIS, LA 70710-2422
(225) 385-3874
Mailing address
5341 MYRLE ST, ADDIS, LA 70710-2422
(225) 385-3874

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
008594
LA
183700000X
Pharmacy Technician
0230029553
VA

Other

Enumeration date
01/25/2017
Last updated
01/25/2017
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