Gary Lee Kabetso JR.

NPI #1801461363 in Boardman, Ohio

Provider Information

NPI Number: 1801461363
Entity Type: Individual
Name: Gary Lee Kabetso JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 26, 2021
Last Updated: May 26, 2021

Practice Location

Address: 8401 MARKET ST
City: Boardman
State: Ohio
ZIP Code: 44512-6725
Phone: (330) 729-4498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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