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1043750052
JAN KUBICKI
VENICE, FL
NPI
1043750052
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Entity Type
Organization
Authorized Contact
JAN KUBICKI
Owner
585-734-2260
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: FL me80462)
Enumeration Date
2017-02-24
Last Update Date
2017-02-24
Business Address
JAN KUBICKI
19404 SOLARZANO ST
VENICE, FL 34293-4549
Phone number: 585-734-2260
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Mailing Address
JAN KUBICKI
19404 SOLARZANO ST
VENICE, FL 34293-4549
Phone number: 585-734-2260
Copy
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