Individual
JENNY DUBANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4730
Mailing address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012832
OR
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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