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Individual

MR. JAMES DAVID KOUSBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
802 134TH ST SW, BUILDING C, SUITE 140, EVERETT, WA 98204-7314
(800) 607-6861
(800) 633-0334
Mailing address
802 134TH ST SW, BUILDING C, SUITE 140, EVERETT, WA 98204-7314
(800) 607-6861
(800) 633-0334

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009053
WA
183500000X
Pharmacist
S018416
AZ

Other

Enumeration date
03/09/2012
Last updated
03/09/2012
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