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Individual

MRS. VALERIE BOXER KUBACKI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6949
(919) 416-5894
Mailing address
6723 LEE ST, MEBANE, NC 27302-6501
(919) 563-2871

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100946
NC

Other

Enumeration date
03/21/2006
Last updated
07/08/2007
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