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1033496146
KEVIN PAUL DEGEN
PLANTATION, FL
NPI
1033496146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL ps31550)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
Mr. KEVIN PAUL DEGEN rph
1251 SW 40TH AVE.
PLANTATION, FL 33317-5805
Phone number: 954-584-2118
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Mailing Address
Mr. KEVIN PAUL DEGEN rph
1251 SW 40TH AVE
DAVIE, FL 33317-5805
Phone number: 954-584-2118
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