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Individual

MR. KEVIN ARNOLD NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
330 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 732-2562
(985) 732-3421
Mailing address
330 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 732-2562
(985) 732-3421

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14887
LA

Other

Enumeration date
12/22/2020
Last updated
12/22/2020
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