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Individual

GARY LEE KABETSO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4498
(330) 729-4590
Mailing address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4498
(330) 729-4590

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120630
OH

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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