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Individual

KELLIE MAUDE ST.GERMAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPHT

Contact information

Practice address
604 N PATRICK ST, DUBLIN, TX 76446-1122
(254) 445-3679
(254) 445-3679
Mailing address
604 N PATRICK, DUBLIN, TX 76446
(254) 445-3679
(254) 445-2771

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
118184
TX

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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