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Individual
DR. VERNON ROBERT KUBIAK
Active
Individual
DR. VERNON ROBERT KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNS, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
54586
ID
364SA2200X
Adult Health Clinical Nurse Specialist
CNS-74A
ID
Other
Enumeration date
07/11/2014
Last updated
03/17/2017
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