JAYSON LAUBE

FORT WAYNE, IN
NPI1801179718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26019589a)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  ps43006)
Enumeration Date2011-09-27
Last Update Date2011-09-27
Business Address
-- JAYSON LAUBE
6201 STELLHORN
FORT WAYNE, IN 46815
Phone number: 260-485-0755
Mailing Address
-- JAYSON LAUBE
6201 STELLHORN
FORT WAYNE, IN 46815
Phone number: