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Individual

DR. CYNTHIA RAE GOURNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
102 SUPERIOR AVE, DONALD A. LAPOINTE HEALTH AND EDUCATION CENTER, BARAGA, MI 49908-9673
(906) 353-4508
(906) 353-8066
Mailing address
4326 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 883-9100
(906) 353-8066

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
120376
MN
183500000X
Pharmacist
20153
WI
183500000X
Pharmacist
303810
IL
183500000X
Pharmacist
Primary
5302042441
MI

Other

Enumeration date
02/01/2008
Last updated
12/27/2022
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