Individual
JOHN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 2ND AVE, KEARNEY, NE 68847-2485
(308) 234-6086
(308) 234-6507
Mailing address
4612 N REGENCY PL, KEARNEY, NE 68847-8358
(308) 234-6086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8799
NE
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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