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Individual

DR. KISHA O'NEAL GANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
1 DREXEL DR, NEW ORLEANS, LA 70125-1056
(504) 520-7436
(504) 520-7971
Mailing address
1 DREXEL DR, NEW ORLEANS, LA 70125-1056
(504) 520-7436
(504) 520-7971

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18822
LA

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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