Individual
MR. KINMAN P GOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
336 CENTER ST, MARKSVILLE, LA 71351-2867
(318) 240-9866
(318) 240-8849
Mailing address
PO BOX 526, MARKSVILLE, LA 71351-0526
(318) 240-9866
(318) 240-8849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9887
LA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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