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Individual

MRS. KAITLIN JEANNE BUVALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2206 WASHINGTON ST, TWO RIVERS, WI 54241-2241
(920) 793-8352
Mailing address
5141 EXPO DR, 202, MANITOWOC, WI 54220-8333
(715) 579-3513

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16390-40
WI

Other

Enumeration date
11/18/2011
Last updated
11/18/2011
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