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Individual

KASSANDRA PERUSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
6020 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7018
(616) 698-9165
Mailing address
1151 LAKE VISTA CT SW, APT 3B, BYRON CENTER, MI 49315-9051

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040322
MI

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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