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1124614912
RUSSELL ROBERT SOBOTTA
MENOMONEE FALLS, WI
NPI
1124614912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 10276)
Enumeration Date
2020-12-15
Last Update Date
2020-12-17
Business Address
Mr. RUSSELL ROBERT SOBOTTA R.Ph., MBA
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051-3714
Phone number: 262-253-5056
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Mailing Address
Mr. RUSSELL ROBERT SOBOTTA R.Ph., MBA
5560 W LAKE DRIVE
WEST BEND, WI 53095
Phone number: 414-507-5635
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