DAVID JOHANN LEBURG

FORT WAYNE, IN
NPI1093352627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26016364A)
Enumeration Date2019-12-02
Last Update Date2019-12-02
Business Address
DAVID JOHANN LEBURG
4120 N CLINTON ST
FORT WAYNE, IN 46805
Phone number: 260-483-3185
Mailing Address
DAVID JOHANN LEBURG
4120 N CLINTON ST
FORT WAYNE, IN 46805-1230
Phone number: 260-484-9348
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