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1790729978
DANIEL ROBERT KUBISIAK
JOHNSON CITY, TN
NPI
1790729978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 4523)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. DANIEL ROBERT KUBISIAK D.PH
CORNER OF SIDNEY AND LAMONT STREET JAMES H. QUILLEN VAMC
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
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Mailing Address
Mr. DANIEL ROBERT KUBISIAK D.PH
P.O. BOX 4000 JAMES H QULLEN VAMC CORNER OF LAMONT AND SIDNEY
MOUNTAIN HOME, TN 37684-3412
Phone number: 423-926-1171
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