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Individual

JOHN WILKINS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3555 HIGHWAY 190, MANDEVILLE, LA 70471-3138
(985) 626-5693
(985) 727-4721
Mailing address
3555 HIGHWAY 190, MANDEVILLE, LA 70471-3138
(985) 626-5693
(985) 727-4721

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13478
LA

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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