Individual
MRS. KIMBERLY DUPUY WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 CHOUPIQUE LN, COTTONPORT, LA 71327-3757
(318) 876-3665
(318) 876-2429
Mailing address
206 CHOUPIQUE LN, COTTONPORT, LA 71327-3757
(318) 876-3665
(318) 876-2429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015855
LA
183500000X
Pharmacist
MA.002802
LA
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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