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1568785301
JOHN PRUSAK
BINGHAMTON, NY
NPI
1568785301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 0482751)
Enumeration Date
2010-03-08
Last Update Date
2010-03-08
Business Address
-- JOHN PRUSAK
1276 UPPER FRONT ST
BINGHAMTON, NY 13901-1011
Phone number: 607-722-4324
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Mailing Address
-- JOHN PRUSAK
531 GLEN MARY DR
OWEGO, NY 13827-2009
Phone number: 804-512-1398
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