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Individual

MR. DEAN EDWARD KOTESKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
161 W BEECH ST, HARRISON, MI 48625-2504
(989) 539-4380
(989) 539-2878
Mailing address
161 W BEECH ST, P.O.BOX 376, HARRISON, MI 48625-2504
(989) 539-4380
(989) 539-2878

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025711
MI

Other

Enumeration date
08/23/2011
Last updated
08/23/2011
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