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Individual
MR. JOHN STEPHAN WASILAK
Active
Individual
MR. JOHN STEPHAN WASILAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26060974A
IN
183500000X
Pharmacist
Primary
PS26097
FL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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