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Individual

KENNETH WILLIAM BOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
230 N WISCONSIN ST, DE PERE, WI 54115-2735
(920) 336-2323
Mailing address
PO BOX 9472, GREEN BAY, WI 54308-9472

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9702-40
WI

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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