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Individual

JOHN GULCZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.O.T.R

Contact information

Practice address
414 AVENUE B, BOGALUSA, LA 70427-3702
(985) 732-1651
(985) 241-5400
Mailing address
414 AVENUE B, BOGALUSA, LA 70427-3702
(985) 732-1651
(985) 241-5400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11826
LA

Other

Enumeration date
05/03/2016
Last updated
05/03/2016
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