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1992301543
KENNETH LANG
JOLIET, IL
NPI
1992301543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051037043)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
KENNETH LANG RPH
221 SPRINGFIELD AVE
JOLIET, IL 60435-7653
Phone number: 815-727-4722
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Mailing Address
KENNETH LANG RPH
19354 GALWAY BAY
MOKENA, IL 60448-7735
Phone number: 708-296-8087
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