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1134659576
EVAN C KOUBSKY
EAU CLAIRE, WI
NPI
1134659576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WI 1001532)
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
DR. EVAN C KOUBSKY DDS
2302 HENDRICKSON DR
EAU CLAIRE, WI 54701-6185
Phone number: 715-836-0136
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Mailing Address
DR. EVAN C KOUBSKY DDS
225 RIVERFRONT TER APT 306
EAU CLAIRE, WI 54703-6399
Phone number: 320-291-8449
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