Individual
JOHN GARY FULGENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 PERSHING ST, LAFAYETTE, LA 70501-5038
(337) 739-2232
Mailing address
PO BOX 420, FRANKLIN, LA 70538-0420
(337) 739-2232
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
007143414
LA
347C00000X
Private Vehicle
Primary
007149414
LA
Other
Enumeration date
04/16/2025
Last updated
05/13/2025
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