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1801101589
MARY C KUBIAK
LAKE CHARLES, LA
NPI
1801101589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16103)
Enumeration Date
2010-08-18
Last Update Date
2010-08-18
Business Address
-- MARY C KUBIAK rph
4460 LAKE ST
LAKE CHARLES, LA 70605-4312
Phone number: 337-478-6042
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Mailing Address
-- MARY C KUBIAK rph
4460 LAKE ST
LAKE CHARLES, LA 70605-4312
Phone number: 337-478-6042
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