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1912246083
KENNETH LAZENBY
MORGANTOWN, WV
NPI
1912246083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WV RP0007103)
Enumeration Date
2013-02-08
Last Update Date
2013-02-08
Business Address
-- KENNETH LAZENBY
1007 ELKINS DR
MORGANTOWN, WV 26505-2891
Phone number: 304-319-3939
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Mailing Address
-- KENNETH LAZENBY
1007 ELKINS DR
MORGANTOWN, WV 26505-2891
Phone number:
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