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1003169749
KEVIN ANTHONY FOSSO
LEXINGTON, KY
NPI
1003169749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 016170)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
KEVIN ANTHONY FOSSO PHARM.D.
3051 KIRKLEVINGTON DR APT 89
LEXINGTON, KY 40517-2422
Phone number: 859-523-0987
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Mailing Address
KEVIN ANTHONY FOSSO PHARM.D.
3051 KIRKLEVINGTON DR APT 89
LEXINGTON, KY 40517-2444
Phone number: 859-523-0987
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