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Individual

KIMBERLY N CRNKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.D.

Contact information

Practice address
2211 E MADISON AVE, BASTROP, LA 71220-4072
(318) 281-3284
Mailing address
6862 OLD MONROE RD, BASTROP, LA 71220-5682
(318) 281-7020

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14581
LA

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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