Individual
MARK OLIVER GOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4750 COFFEE RD, BAKERSFIELD, CA 93308-5034
(661) 587-9741
Mailing address
PO BOX 2479, PASO ROBLES, CA 93447-2479
(661) 587-9741
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC24135
CA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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