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1275017584
KEVIN STARAL
WAUWATOSA, WI
NPI
1275017584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 19344)
Enumeration Date
2018-09-21
Last Update Date
2018-09-21
Business Address
KEVIN STARAL
11111 W BURLEIGH ST
WAUWATOSA, WI 53222-3211
Phone number: 414-290-0910
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Mailing Address
KEVIN STARAL
11111 W BURLEIGH ST
WAUWATOSA, WI 53222-3211
Phone number: 414-290-0910
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